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Well, we know that the model is Britain's NHS, and we also know that they routinely decline cutting edge medical care for their members in favor of cheaper alternatives, or nothing at all, to keep costs down. Unfortunately for Brits they won't be able to come here for the best procedures, tests, etc as they'll be phased out. If Obamascare is fully implemented health care innovations will be disincentivized, so after a some time these pesky cost-benefit calculations won't have to be undertaken so routinely. Maybe Costa Rica will be the default medical tourism destination.

On personal responsibility: take care of yourselves-- self-educate, eat properly, lose weight if you need to, control blood sugar, exercise, get your BP at or below normal range, consider some supplements, stop smoking and drinking beyond moderate intake. *Find a doctor that you can access privately, outside the system* Because once poor health gets hold of you quality health care just won't be as accessible as it has been, and you might bang into bureaucratic walls or just simply slip through the cracks, especially if you're of a certain age. And even if you're still young and in good health it's much preferable to remain healthy than roll the dice in the darkened alley that is the future state of our health care system. Declining health is never fun, but battling for adequate care within what promises to be a dysfunctional system will only cause you greater suffering. The goal isn't immortality but to thrive while you're alive.

Have a nice day and vote Newt in 2012!