Tyler wonders what will be done with people who are required to by health insurance, but don't. The answer, I think, is "they'll get treated". The object is not to play chicken with people; we can't make a credible committment not to treat people without insurance (and thank god for that.) The object, as I see it, is to force the people who care about things like legality to get insurance rather than rolling the dice. The people who don't care about such things will continue costing us some fraction of the small amount that caring for the uninsured currently costs us now. It may only be a slight improvement, but it's still an improvement.
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