States would be free under this reform to provide financing to the poor to purchase private health insurance, empowering the poor to enjoy the same health care as the middle class, because they would enjoy the same health insurance as the middle class.
But with the above reform, the poor would enjoy the same health care as the middle class because they would have the same private insurance as the middle class, paying market rates for care.
Instead, the poor would be liberated to enjoy the same health care as the middle class, because they would have the same health insurance as the middle class, which has to pay doctors and hospitals well enough so that those covered by the insurance can get timely care.