When no insurance is better than ObamaCare

When no insurance is better than ObamaCare
http://www.salon.com/2014/11/10/scotus_could_roil_the_gop_how_new_threat_to_obamacare_may_backfire_on_the_right/
""But it's not at all that simple. The biggest political challenge facing the GOP is the fact that "repealing" or otherwise damaging the Affordable Care Act, while ideologically satisfying, carries with it some very real consequences. The states that opted not to create their own health exchanges – the states that would lose their health insurance subsidies if SCOTUS rules against the government – are mostly Republican-governed states. The sudden unavailability of those tax credits would mean that a lot of newly insured people in those states would no longer be able to afford their health coverage. They will expect their elected officials to do something to mitigate the damage, which would be catastrophic. Close to 5 million people across the country would see their health insurance costs spike.""

This is incomplete. What about the 5 million who didn't qualify for the tax credits who gain the removal of the tax on those without insurance. Since insurance is meaningless without doctors and this uninsured group will need doctors, this could cause a migration of doctors to the uncovered states combined with a migration of newly unsubstituted to the remaining states. In fact the states could encourage this with tax relief.

Assuming the healthcare law has an increased level for health savings accounts (which are needed with the high deductibles), many in the uncovered states can self insure (that is pay cash). Cutting the government out of healthcare has been shown to be much more efficient, with many doctors charging the deductible levels for cash customers.

As a result the average income in the uncovered states will go up, the doctor availability will go up, and the federal insurance tax will be eliminated.  What is not to like.