You know the Republican answer - get rid of Medicaid, and government funded disability too. Or introduce enough delays that "Bob" dies sooner rather than later. After all, type 2 diabetes is the result of "bad lifestyle choices" (eating what the food establishment produces, instead of cooking from scratch, mostly). And not being able to afford insurance is clearly the patient's fault too - if he'd worked harder, he'd have succeeded in America's "open, meritocratic society." (Not to mention that according to "prosperity theology", if he were a good person, God would have made him rich.)