Think barrios, ghettos, illegal aliens, poor white people...... Want nothing to do with THE MAN because they are involved in petty illegal activities. They prefer living off the grid. They want no contact with the LAW and no contact with anything GOVERNMINT.
So why would they waste good money on 0Care
The government is as legitimate (and real) as the mafia, and I'll follow orders from the mafia too, on account of both entites use physical violence to impose their will.
Barrios, ghettos and especially people who play and use the system love free everything. This is the Democrat base outside of government employees.