A wise man once named Socrates once said "I am the wisest man alive, for I know one thing, and that is that I know nothing." You should have said "I know nothing" to every question, not just that one.
In all seriousness, these issues are SO COMPLEX, with so many unforeseen consequences, obstacles, factors that not even the smartest politicians, social scientists, and economists can solve it. you can read papers on pubmed regarding these issues that will boggle your mind with data and studies, and still those smart people can't even unify to give a coherent answer. How could a (probably biology major) pre-med have the objectivity and knowledge to solve it? if you give a political answer or social solution that would be childish IMO. "umm yea... free healthcare and food stamps for all?"
you should have outlined the difficulty of addressing this issue first, then said "I don't know. its complex as ****. sorry lady/bro. your turn to answer"
You may have done a good thing by not pretending you know the answer, and to be fair, you did give the only right answer.
For posts like these, I wish there was a dislike option. This was a straightforward question that asked about a current healthcare issue, which you are supposed to know about. By saying, " I don't know", it shows that you were unprepared for the interview and you didn't even bother doing some quick Googling. This was not a philosophical question (i.e what's the meaning of life). They were discussing ACA and the answer should've mentioned some of the points of the Act that were designed to help the poor.
A) ACA expanded medicaid up to 400% of the poverty line, so people who were ineligible to get coverage are now able to get medicaid for free or with some low premium.
B) ACA created a market place that allows the person to shop around and pick a plan that they can afford and have money for groceries and healthcare.
C) ACA extended a dependent's coverage until the age of 26.
D) All workplaces with 50 or more employees must now provide medical coverage to its employees regardless of their income.
E) All plans (except grandfathered plans that will end in the end of 2017) must provide free preventive health services, hence if the individual is healthy and doesn't need to go to a hospital or medical services, it is feasible to get a catastrophic insurance (premiums are like $30/month).
F) The Supreme Court ruled that it's illegal for the federal govt to force medicaid expansion onto states that do not want to expand; thus, it is harder for an individual in those states to get healthcare services and they do not get punished for not having health insurance.
G)Under ACA, there is CHIP (Child Health Insurance Plan), which allows pregnant women to enroll into an insurance at anytime without having to wait for an enrollment period.
I) Some immigrants who cannot get health services due to the 5 year ban, can get govt health coverage if they become pregnant.
So some of the reasonable solutions are:
1) Get medicaid if you are eligible
2) Buy a low cost insurance plan that covers the basics
3) If you live in a state where you are not fined for not having health insurance, utilize free public clinics and city hospitals that offer low monthly payment plans ($5/month)
4) Find employment that provides health insurance
5) If you are under 26, you are eligible to be covered by your parents' insurance plan
6) If you are a pregnant woman then you have more options to get covered under ACA
So don't say that the only right answer was "I don't know". As a future physician, you are not expected to know everything about public health, but not knowing the basics is just unacceptable.