It appears you've never lived with Medicaid. Medicaid makes it clear that the poor don't deserve as much or as good a quality of medical peer as someone well-off.
That's not far off from what Medicaid does. It doesn't pay poor people to buy private insurance, but it does it for them. Medicaid is private insurance paid for with government dollars.
In any case the extremely poor already have free insurance in the form of Medicaid so not relevant.