This is the cost of the principled stand. He couldn't use the PPACA since he had such deep seated problems with it.
In all probability, if the PPACA was not restricting the kinds of insurance this individual had access to, he probably would have had insurance. I think that is a part of the story that is being missed.
Sure he was acting foolish by not getting coverage just because he doesn't like the PPACA, but it is what is necessary for him to do if he is trying to take a principled stand against the PPACA.