You don't have to get insurance. You are right, they can't force you. You will pay a tax and those monies will go into a fund to cover the cost of uninsured people going to the ER. Some States already have uninsured motorist pools.
What you cannot do is to ask others to pay your emergency medical costs through higher premiums and taxes. Are you actually willing to bleed to death at an accident scene so I won't have to cover your ER bill? I doubt it.
Those who truly, truly cannot afford it will find themselves eligible for assistance and that I will gladly chip in for. The days of using the ER as a free subsitute for medical care are over.
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