When the Republicans try to dodge responsibility for the repeal there will be no place to hide.  A republican majority in both the House and the Senate will have to face the voters when the reality of no lower cost for doctors or hospitals did not happen after the repeal of the ACA.  Those voters who chose to have no insurance will find the out of pocket for emergency care will be causing them to sell their houses like they use to worry about mom and dad doing to pay medical expenses. The will take that rage to the incumbents reelection by voting against them. 

There is no perfect solution. At the same time there no not paying your bills is you have anything of value.  Hospitals and doctors have collection agencies and attorney on retainer to collect whatever you have of value.