Yeah, it's called a free market. You want medical treatment, pay out of pocket, or buy insurance if you think you won't be able to afford a big ticket item. Or die. In a free market you get to buy or not. In fascism you are threatened with fines and jail if you fail to pay the government-industry complex.
My guess is many Americans will end up paying for both Obamacare and out-of-pocket care. In order to get decent healthcare they will be forced to pay out of their own pockets. Meanwhile, they will be forced in to Obamacare where the money paid provides care to illegal immigrants, welfare Moms and shot up drug dealers.