He didn’t say for those without insurance. Many are without insurance now because it is far too expensive. He is talking about the poor, indigent etc. Many people chose to not have insurance because they were young and healthy, or because it was not very affordable (recently). Back in the 80’s it wasn’t so disproportionately expensive. Costs have skyrocketed for many reasons.
Listen for yourself: https://www.youtube.com/watch?v=6inQmf96SYQ