text: During a primary debate in the 2012 presidential election campaign, Paul was asked who would pay for the medical care of a previously healthy 30-year-old man without medical insurance who suddenly falls seriously ill and requires six months of intensive medical care. Paul said that "what he should do is whatever he wants to do, and assume responsibility for himself." When asked specifically whether the man should just be left to die, Paul then replied that he should not be left to die, but should be able to rely on the kindness of neighbors, friends, churches, and charities, as would have occurred back when Paul worked in a church charity hospital early in his career, at a time when healthcare paid for by the government was not available.
  Following the debate, Paul was criticized by some political commentators for his refusal to yield in his opposition to the 2010 health insurance reform law ("Obamacare"), which prohibits insurers from denying coverage on the basis of a pre-existing condition, when it was pointed out that Paul's 2008 presidential campaign chair and friend had contracted a sudden severe illness necessitating a prolonged hospital stay before dying. He had not had any medical insurance through his employer and had been unable to purchase insurance due to a pre-existing condition. Although he had been able to receive medical care he required over the course of his illness, when he died the bills for that care amounted to about $400,000. His friends, including Paul, were able to raise about $50,000, but that still left $350,000 to be passed to his estate — or left unpaid (and passed on to other consumers and taxpayers).