People that work in restaurants don't get health insurance, people who are self employed many times don't have it due to the costs, many part time employees that work 2-3 jobs don't even get offered it. These are some of the 28 million. They still make a decent living but to receive insurance on their own as their employee won't subsidize it, it makes it impossible to pay the rest of their essential bills. I know medicaid pays for the VERY poor people of this country. But many people work extremely hard and still don't get offered insurance. My mom was a waitress for 20 years raising us, and never got offered health insurance.