why don't the anti-aca folks just form and join the church of i-don't-believe-in-health-insurance?

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77. i agree that american policy has become truly messed up in many respects.

using tax policy to encourage people to buy hybrids is one thing; using tax policy to encourage people to buy health insurance is another.

from a policy perspective, relying on financial incentives to support preferred private industry and to adjust the economy and to further social or strategic goals (such as going green) is fine (if done fairly and properly).

however, relying on financial incentives is very bad public policy in matters such as health, where costs go up when people avoid early preventive care and checkups and such, and many people suffer when others don't take stay in good health (think contagious diseases), and the social implications of health care being affordable to the rich but not the poor is very different from the social implications of nice cars being affordable to the rich but not the poor, etc.

nevertheless, it's all the same constitutionally. call it a "uniquely american solution".