The mandate is a simple tax on deadbeats who decide if they get sick that taxpayers will pay their emergency room visit and bills. You support deadbeats not taking care of themselves, so you are extremely happy with food stamp fraud where people game the system.....right? No, when I withdrew some of my money from my self directed IRA and SEP before I was 59 1/2, I had to pay a tax of 10% to get my own money. However, the intent of congress was to allow people to save retirement money with before tax dollars. So I was going to be taxed as ordinary income on the amount I withdrew, yet congress in order to meet congressional intent created a tax penalty of 10% if somebody used the funds for something other than retirement....even though it was their money. You see congress in trying to give incentives for people to save for retirement, or give incentives for people to be insured have to use the tax code as a tool for compliance. So if somebody has a simplistic view of government taxation as confiscatory or redistribution, it is the price of a democratic government to vest in our representatives the authority to act on behalf of our general welfare. You cannot make everybody happy, but the ACA was good legislation. Was it perfect? No However, the enemy of good is perfect. The mandate should increase the penalties significantly, and medicare should gradually be lowered to the age of fifty. In fifteen years, the problems will be solved in regard to Americans being insured. It really is that simple.