At one time or the other all people are going to need health care. People who opt out now and can't get insurance later will end up in an emergency room and probably end up filing for bankruptcy later. Then all the rest of us have to pay more to make up the difference. The idea that government can't force people to do something is bogus. Unless your are below a certain income everyone pays taxes. There are speed laws that you must abide by or pay a penalty. If you own a car you are required to obtain car insurance. These examples may not be exactly the same but in my eyes they are damn sure close.