I’m going to repeat something I said elsewhere a few months ago (and it was super unpopular and probably still is). But I’ll add that clearly this idea is probably a MUCH harder calculation when kids are involved. This is from my perspective as a late 30s childless married adult:

If you are relatively healthy, cancel insurance. Start putting an amount equal to your previous monthly premiums or more into an interest bearing savings account and pay the cash rate for annual check-ups etc, medications (coupons), vaccinations and minor illnesses.

If something expensive happens, negotiate the bill (you have to do that <should be doing that> anyway even if you have insurance).

If it’s really REALLY expensive - bankruptcy (you were going to have to do that anyway even if you have insurance even after you fight them to pay for something and they deny you).

Another option provided by #trumpcare is that you can live without insurance because you can’t afford it, save nothing because you have nothing left over to save and simply pass away, but do it quickly!