Honestly, without the mandate, there is no incentive for those who do not have insurance to purchase it. Just like we have insurance for our cars, all people need health insurance. And preventative and pre-natal and maternity care must be covered. The Republicans are trying to dismantle a system that needs some tweaking for sure. Medicaid should be expanded for those who still can't afford to purchase insurance on their own and tax incentives given to small businesses and individuals to write of some of costs would be an improvement.