While you appear to be for allowing those who chose to not buy insurance, do you have any concepts on how to require them to pay for what they require in medical services.  Don't tell us then can just pay out of pocket as many years of records indicate there is a part of the population who does not pay. We know no-one is going to be allowed to die becasue they can not pay at the emergency room doors. So who gets to cover what is unpaid when the provider increase their fees to  cover their lost revenue.