However, at least in California people can turn (as a last resort) to Medi-Cal which is similar in some ways to Obamacare in California

 This is a state run medical program which is directed at those who are having trouble paying for medical insurance. Even if you own a small business or possibly own your own home you might be eligible for Medi-Cal if you apply so your family doesn't have to die like so many will in the Red Republican states this next year from not having Medical insurance that they can actually afford.

The main result of ending Obamacare subsidies by Trump is deaths in Red Republican States.

See how he punishes and kills his electorate for voting for him! 

It's almost like he is saying to them: "See how foolish you were to vote for me? Now I've killed you or members of your family!"