The "Republican with a conscience" line is unfair. Life would be a lot easier if all the sociopaths in the world were on one side, and all the conscientious people on the other. But it's not like that.
Granted, sorry. The problem I have with Republican rhetoric on the issue is the "I got mine" smugness of it all. The message seems to be "If you want health care, get a job like me. Problem solved." But it isn't that simple. Unemployment is real even for the able-bodied and a common consequence of being underinsured. Some jobs don't offer health care (at all) or offer inadequate, unaffordable health care (small businesses, in my experience.) Preexisting conditions can lock hard-working people out or keep them from seeking optimum employment.
I'd love to hear from even one anti-healthcare reform advocate who has ever been "outside the system" (as outlined above) and thinks that's a principled position to take.