She deliberately CHOSE not to buy health insurance through the exchange because she didn’t want to spend the money on it. Because she’s a celebrity, she then successfully BEGGED for money to cover her medical bills, and fools gave it to her. Shame on her. Shame on them for being so gullible.
I’m sure that she could easily have paid for her health insurance on the exchange. It probably would have been about 1000/month for a bronze level plan, with an 8500 deductible. I bet she pays that much a month for a hobby, or pets, or yard care.