But many people have been saying this for years. If you accept (or acquiesce) to the need for a large coverage expansion and don't want a single payer or substantial expansion of existing public systems, you need to make sure private insurers cover the sick, which means you need guaranteed issue and community rating -- so that nobody is closed out of the system, and so that risk is spread across large populations, not assigned to individuals. But if you have those two things then you need a coverage requirement, so you're not just spreading risk among old, sick people. And if you have that mandate, you need substantial subsidies -- means tested or otherwise -- so people aren't required to purchase insurance they can't afford.

Of course, that's just Obamacare. I'd guess I've written a version of that paragraph at least half a dozen times over the years as the GOP's assertions about Obamacare have grown more and more divorced from reality and the historical record.