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If people without medical insurance are 100% responsible for their bills (and they aren't pawned off on the taxpayer) then I have no issue with not forcing people to buy medical insurance. Since that won't happen everyone should be forced to contribute something to get some sort of coverage or pay an opt out fine and stay the hell out of the emergency rooms and don't seek doctors care if you can't afford to pay the bill.
As it is, there will still be people without insurance. The homeless and illegal aliens (who rightfully so this new policy does not cover - if you're not here legally you shouldn't get access to our programs) are two groups off the top of my head.
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Spork is the new MacGyver
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