IOW if you choose not to buy health insurance because you are healthy and then you come down with a debilitating and expensive chronic illness, then you are not going to get insurance and eventually you will die in the streets?
Pre-existing could be handled this way: With a premium based on income, the person qualifies for the medical coverage aspect of welfare/medicare/socialsecurity (whatever you want to call it) and is enrolled in their state’s welfare network, without having to meet the stringent asset restrictions imposed on those who collect full welfare.
how’s that?