[Freedom56v2]

I am not quite clear why it is OK to require insurance to drive a car, but not require insurance for guaranteed care in an emergency room. What is the constitutional difference?

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States’ rights versus the federal government enumeration of power. Difference is that driving a car is a privilege; you could choose to move or not drive if you don’t like your state’s insurance provisions—for example, Michigan is a no-fault state and charges about 6x what Illinois does for auto insurance I would not want to live in MI and have to insure a vehicle. I don’t have to—I can move or I can not drive. Not so with Obamacare—I would have to leave the US; lose citizenship status....

[terycarl]

am not quite clear why it is OK to require insurance to drive a car, but not require insurance for guaranteed care in an emergency room. What is the constitutional difference?

you are not required to have insurance on your car to cover you, you are only required to have liability insurance to cover those who you may injure....completely different concept.