Well, if he make $180k, they'll take what he has first, then spread the cost to everyone else.
Also, if you make that much money and don't have decent insurance, you're a cheapskate and a risky one at that. Like young people don't get cancer?
I bet the number of income earners who earn $180k+ and are uninsured or have crappy insurance is below 1%. And I'd call all of them morons. (not counting those who can't get coverage, of course).