you go without until you end up in the emergency room. even if you some how qualify for medicaid, the backlog of wait times and the hoops you go through to get appointments, medication, etc cost so much money in lost work & time most people end up not getting the medication they need so they kill their girlfriends or shoot up their workplace or whatever. your best bet is to end up in the emergency room in a blue state, travel to end up in a blue state emergency room, or buy them off the street.
after Obamacare things were better. more people were covered. more poor black people. Republicans who hate poor people more than they even hate blacks, did everything in their power to scale back protections for the poor. so for like three years of my adult life I had (too expensive, will never be able to afford again) health insurance. it's fucking insulting when people tell me about their new therapists or whatever, I'm just like -- well, I told HR to put a DNR on my emergency contact because if I ended up hurting myself that bad at work (which won't provide me with health insurance) to just let me die rather than ruin my life with hundreds of thousands worth of debt. the HR woman started crying because she said her mom is dying in Wisconsin or whatever disgusting white milk place she's from and I was like does it look like I give a fuck?