Did I miss something when I was looking at the concept that having all people covered; especially that explodeing percentage of people with expensive chronic pre-existing health issues at least in part financially responsible for their own care makes sense?

I personally believe if the only care and coverage a large percentage of people would have as they age is Medicare we are all screwed. 20% of Senior care will bankrupt most families. Yea you might thin the ranks of people competing for jobs by forcing caregiving on families but they will be too poor to buy anything but necessities.

As it stands up until when people accept uninsured patients are an absolute drain on medical resources as they grow substantially more expensive as their conditions were only treated when they reached crisis stage not death and went to free indigent care.

Care that is driving more and more medical practices and services out of business. Making "care" so expensive that only those that can afford to fly out of country where competition, less malpractice, and reasonable pharma profits make it not only affordable but less of a "stop, drop, chop, and curb" patients system and the focus is on education, quality nursing, choices, and actual comfortable care. All the rest who can't can count of rationed care if any care at all regardless of their age.

Will insurance companies and tax payers have to wake up and make sure the "expensive" especially self inflicted patients actually don't drive up premiums yes but I don't see how that is a bad thing.