You pay an extra $500 on your taxes if you don't have health care. If you're disabled, or unemployed, you can get subsidized health care. So you end up in a situation where you can either pay $500 for health care, or $500 for not health care.

And if you can't even pay $500, you can theoretically pay even less and get health care. That's the idea, anyway.

Is it going to work? See the above and oft-repeated, "I have no frickin' clue."