Wrong. I can choose not drive a car (and I have done so many times) but there is no out when it comes to the ACA.  I am taxed solely because I am a living US citizen.  And what do I get for this tax?  We are supposed to pay taxes in exchange for some kind of benefit such as a public road or public school yet there is none here.  You may like forcing US citizens to pay something for nothing but I do not.   BTW:  . Having a bad idea is common, but choosing to implement one is moronic.