I feel like I should start a new category of posts labeled “This election is important and it can still go either way”
The root of the problem is that the conservative movement has organized itself around opposition to the redistribution of wealth, and universal health care requires redistribution. Some people will be unable to provide for their own health care, either because they earn unusually low incomes, or because they pose an unusually high actuarial health risk. There are many possible ways to redress this. All of them require, at the most basic level, the provision of resources to the poor and the sick.
And that is something the conservative movement refuses to do. The House Republican budget, which has become the lodestar of conservative public policy, is instructive. It repeals the Affordable Care Act and leaves nothing in its place to cover the uninsured. It further imposes enormous cuts to Medicaid, increasing the uninsured population even further still. It offers no plan to fill the void it creates. This is not because such a plan lies too far outside its breadth — it is a sweeping statement, including such disparate objectives as deregulating the financial industry, and laying out a vision that would stretch decades into the future. It’s a statement of how the Republican Party would allocate resources, and the crystal clear answer is, Republicans oppose allocating resources to cover the uninsured.