The fines for not purchasing health insurance are small, and people who can't afford insurance will have it heavily subsidized. The idea is that no one will be forced to not buy it by their own economic circumstances. I am skeptical about whether this actually is constitutional, even if it doesn't violate the constitution I think it is still a violation of liberty. I don't think the government can legitimately force people to purchase a product from a private entity. It isn't like car insurance where you must have it if you operate a vehicle in public. Everyone must have it, you can choose not to drive but you can't choose not to live. Or rather, you can but it's not a choice the State should have any coercive influence on.

I think a much more rational, efficient, and just method of reforming the health care system would be to put the greedy fucks who have run it until now in prison, nationalize all health insurance companies, turn the whole thing into a coherent single payer system, and then sell off everything but the billing department. A kind of British-Swiss-French model hybrid.

Eventually, but I'd imagine the necessity of a public healthcare system will have to be eliminated first.

Oh for the love of Christ can't they for once just focus on creation and retention of DOMESTIC jobs? There's a fucking fuck-ton of Indians in that country, and an economy that's just waiting for a nuclear explosion to rocket them to the top. THEY CAN DO THIS ALONE. I'm so sick of hearing about Americans outsourcing jobs, increasingly to India. This interdependence shit is so ridiculous.