Perhaps it is just a matter of definition.
Perhaps when he made this assessment he was under the opinion that the Average American Family was on Welfare, Food Stamps, and thus the $2500 that was being held from their welfare checks each month for Medicaid would not happen anymore under the "Affordable Health-care Tax" program.
He also assumed that since all of the politicians have opted out, the Federal Judicial Branch and their employees had opted out, The Executive Branch and all agencies had opted out. The entire Muslim and Jewish religious groups had opted out.
Then who would be left? Why those right wing, Tea party attending, Terrorists! They don't count anyway.
Let them pay!