If you don't mind being poor, that is OK with me.
I was lucky to be born to upper-middle class family. I was given access to great public schools and as a teenager was exposed to the engineering profession (an opportunity that only upper middle kids get) that really shaped my life. And, I am white and male which has never hurt anyone.
Of course I worked to get a good education and I now work hard as an engineer. I am paid quite well for my efforts, I get the opportunity to travel (which to me makes life worth while).
So with a combination of luck and work I live a life even more comfortable than my upper-middle class parents did.
I don't buy the idea that anyone wants to be poor. And even if they did choose poverty, I don't think letting people die in the streets makes my life any better.
I suspect you are trying to make a political point here.
As a successful upper-middle engineer who is grateful for the opportunities my country has given me, I don't mind giving back a little to help my fellow countrymen who haven't been so lucky.
For the record, I am not too fond of Obamacare. We should truly provide decent, efficient healthcare for all Americans with a government run, single-payer system.