I think only MittCare requires someone to buy insurance.
True, on the surface. But how does the govt. as an entity provide a way for all to be insured if not by the requirement?
The nanny state Republican solution can only differ from the Democrats in one way:
The Dems would have a single payer system solely handled by the government.
The pubs would have a multi-payer cabal which would undoubtedly end up monopolizing the industry. That cabal would eventually become a single entity, either by collusion or takeover, hence single payer all the same.