What would happen if the House of Representatives simply refuses to fund ObamaCare?  Would the doctors and hospitals decide to go out of business?  No, they'd figure out a way to either carry the debts and take payments, or they'd find financing for their customers in the private sector.  And they'd continue to "cost shift" to offset the losses from those who don't pay.  That group would continue to have bad credit and have to buy  used cars for twice their market value with devices that shut them down when payments aren't made on time.  Not honoring your financial obligations make your cost of living much higher.  It's a great incentive to do what is necessary to not be poor.