Notice he did not say free or subsidized insurance for everybody
From the article: "We're going to have insurance for everybody," Trump said. "There was a philosophy in some circles that if you can't pay for it, you don't get it. That's not going to happen with us."
Sounds like free or subsidized to me.
Kind of like mandatory auto liability insurance
Or at least, if you don't buy health insurance, emergency rooms and hospitals have no obligation to run up a huge, government forced and mandated , multi million dollar hospital bill for a health care crisis, nor do they have an obligation to act as primary care physicians for illegal aliens or other people walking in off the street with non emergency health care conditions.