The patient has insurance but once you have insurance you have to find healthcare professionals who accept your insurance, doctors don’t have to accept any insurance plan. The insurance company here has a list of health providers that accept their coverage (we call this in network) and you can go to them for care. The insurance company’s list is poorly maintained so many of the listed providers went out of business, stopped accepting the insurance plan, or stopped accepting new patients.
If you go to a doctor that is out of network, the insurance company charges you much much more for the visit if they cover it at all, or you may have to pay completely out of pocket.
He was a sore loser even in 2016 when he did win because he was upset he didn’t win the popular vote, only the electoral college. He had fake electoral maps he showed off that painted pretty much the whole country voting for him and he repeatedly claimed that he won the popular vote, but democrats cheated and that is why it looked like Clinton won the popular vote. No matter how this vote goes, Trump will act outraged that cheating happened and made his numbers underperform, even if he wins in a landslide.