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On the other hand, there's some truth to that second question.
People without health insurance often not only do not go to the hospital, but don't seek any healthcare services at all when they're ill. They're forced to make that choice due to the high cost of healthcare. Even many people with health insurance choose not to seek care most of the time, due to the cost of copays and non-covered services.
On the other hand, when a health issue reaches a certain level of severity, or in the case of some sort of accident, the choice may not be there. You go to the hospital in the ambulance that was called or when family or others transport you there to save your life. In those cases, you may not be in any position to decide whether or not to go to the hospital. In reality, you are required to go to the hospital. If you can't pay, you'll get the amount of care required to keep you alive and send you home, followed by an almost endless series of harassing communications demanding that you pay for those minimal services.
The answer should be taxpayer-supported universal single payer healthcare. That's the only real solution to the problem. It also seems to be an unattainable solution in the current political environment. Instead we have this mandated coverage, with subsidies and exceptions for people who cannot pay for insurance. It's a weak substitute, but offers at least some assurance of treatment for life-threatening conditions. Is it constitutional? Well, I think so, but that call is not mine.
The bottom line here is that the current crappy HCR legislation isn't adequate or even appropriate. The only good thing about it is that it can be replaced with an actual single-payer system if we ever get a Congress that will do that. For me, the question isn't really whether mandated insurance is constitutional or not. The question is how we can elect a Congress that will do what's actually needed.
Single-Payer Taxpayer-Funded Healthcare for All! That's the goal. That's what I'm working on. The only way I know to get it is through electing an unassailable majority in both houses of Congress that will enact it. If someone has another feasible path to this, I'd love to hear it. The path I've described is very difficult.
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