The argument, I guess, is that as a country we don't need to care; that for people like these, the proper response is "Tough luck. Not my problem." The operative ethic, evidently, is that because the ACA pays for itself by raising certain fees (as opposed to Bush's Medicare Part D, which didn't pay for itself in any way), and, by every measure taken of it, lowers the deficit, it must be repealed. No matter what good it may do for millions of people: if we have to pay, we ain't gonna do it. We got ours: screw you. You don't deserve it, it's not a priority, go away.
This, ladies and gentlemen, is the R view of American exceptionalism.