You go and you pay for it out of pocket.
And, if said pockets and bank balance are all empty, then you don't get anything, ever, at all?
Right?

You'll get treatment when you need it, not when the government thinks you'll need it.

Don't you mean
" You get treated when you can pay, and if you can't - tough luck." ...?

If this is the case, let's be honest about it.
in the UK, we will ave your life if you have a coronary, or a road accident.
having had a ski ing accident in Switzerland, I soon found that I needed health insurace, which fortunately, I did.

However, for 30 million people in the USA, insurance isn't there.