There is no effin' way that "Nora" is surviving on Ramen Noodles. Alexis wouldn't be considered "gangly", either.
You can tell exactly what "Nora" is thinking in the ad:
"I haven't made the life choices necessary to let me financially support my lifestyle, but the Government is going to confiscate the property of those who did make the right decisions, and give it to me. Thanks, Obamacare!"