'Insurance' was not around much when our country was founded. What our Constitution guarantees is not equality of outcome but "Life, Liberty, and the Pursuit of Happiness". There is no 'right' to 'healthcare' and a 'healthy life' is not something you can guarantee anyone. Healthcare is a good, a service, something that is PAID for, not a right granted by the Government to the Governed any more than would granting people the right to a house, or a car. Granting of 'rights' is not something our government is supposed to do anyway:
Life: Happens independently of Government and is something they can only take away.
Liberty: Is the basic right to live life pretty much unmolested by anyone (including fines for just 'living'). Government can only choose to interfere with liberty, or to not interfere.
Pursuit of Happiness: The ability to use your liberty to search for what makes you happy, and a better person.
When a Government goes into the business of GRANTING rights to people, it also becomes the Government's business to take away rights. THIS government, is not our sovereign, but our servant. It exists to protect us, the people from others who would interfere with our Liberty.
As we threw off the King of England, and its Parliament, whose Government was not (and still is not) a Government of the People, and was in the business of granting and removing 'rights', we should also remove from office any Government that would seek to do the same.