To: TimF who wrote (23558 ) 3/31/2012 1:50:56 PM From: i-node 1 Recommendation Read Replies (2) | Respond to of 42652 Not buying insurance, can possibly result in a situation where you might ride on the backs of others, but it isn't itself not riding on the backs of others. This was really a split between the liberal and conservative justices on the Court. The liberals consistently asserted, in their questions, the notion that ALL people are effectively entering into commerce by virtue of their very existence: Everyone sooner or later will require health care (which may or may not be factual), but the question is one of whether they will require health care they can't pay for. And this is a far different assertion.Also having insurance, and then incurring a great cost to the insurance, is in a sense riding on the backs of others anyway. (Its not purely or simply that, you did buy the service of insurance, you created a contract for you to be covered, OTOH the cost minus your premiums is almost as large as the cost would have been without your premiums.) Great point. What exactly is the difference between entering into a pool that will diversify the costs you cannot afford versus showing up at the ER at Parkland Hospital and getting care you can't afford? One is spread over an insurance pool, the other cost is borne by the taxpayers of the county in which you live. It almost comes down to semantics if this is the only issue. However, when you consider the idea that doctor visits and contraception (for example) will be covered by the insurance pool whereas it might not be by the county taxpayers one starts to get the sense there may be another agenda with demanding people join insurance pools.