Well it all sounds good to Brian right now but wait till Medicaid denies him treatment for cancer that is no longer called cancer. Or while on a vacation from his job as a full time slacker/student he contracts the new super bug-syphilis and goes to a doctor.
The doctor sends him for all kinds of tests and then puts him in the hospital for a week or two and pumps him full of all kinds of drugs that kinda slows it down.
Then he gets his bills. Finds out the Doctor he went to wasn’t a “particiapting Doctor” and Brian is now on the hook for every penny of all the cost.
Guess what Brian, the IRS will then OWN you for life. SUCKA!
In theory you’re right. In practice he’ll never get in to get any of those treatments due to lots of doctors retiring and thousands of subsidized LIVs making appointments for every sneeze and tickle they experience.