Facing the SCOTUS ACA decision

I am a “non traditional” first year medical student. I am not from a “privileged” family. My husband has also been unable to receive care for his medical condition despite going through all the appropriate appeals to the insurance company with physician support for medical necessity. I have a family and will come out of medical school with over 200k in debt. The federal subsidized loans are being taken away from all medical students as of July, increasing our debt load. This year’s match was very tough. There were hundreds of fourth years competing for 8 remaining pediatric residency spots in the scramble, meaning hundreds of potential primary care physicians are unable to receive training in the field this year. In the face of decreasing medicare funding, many residency programs are letting residency spots go unfilled. I know many people in the public view docs as rich country clubers, but the vast majority of docs I have encountered are generous caring chevy-driving members of the community. I am disheartened looking at the future of medicine in the US without the ACA. Currently we are cutting care and seriously threatening medical training. How can we possibly hope to take care of an ever expanding and aging population? I just wonder wonder why the individual mandate is being met with such opposition. The fine for not carrying insurance would only be $95 if a person wanted to opt out. Yet, if that same person was in a vehicle crash, s/he would still be treated when brought to the ED due to EMTALA. The physicians are not the enemy. I don’t need to nor do I expect to be wealthy. I hope to be able to pay back my loans, provide for my family, and enjoy my work. I cannot imagine doctors looking at dying patients and withholding treatment if they had the power and resources available. As students, we are constantly being taught to practice “evidence-based medicine”, but I wonder where the evidence is supporting patients with a treatable cancer dying without treatment. How has the policy of medicine strayed so far from the principles. I know I am a fresh med student idealist, but just have hope for the future and I shudder to think what may come when we continue to turn our backs on our neighbors.