Is it better to have very good to excellent care for 260 Million Americans or to get avg. to bad care for all,

Actually it has been proven time and time again that 40 million is an inflated number- and many of the remaining are already eligible for government istance but dont sign up for one reason or another. Also a good share can afford health ins but dont buy it for one reason or another- usually because they are young and feel they can do without it.