The problem is that when you give it to them for free, they do not appreciate it and they begin abusing the privilege. You have welfare queens taking their little crotch spawn to the Emergency Room for every sniffle or cough instead of making doctor's appointments because they do not want to wait at the clinic. What should be a $10 office visit gets billed to the government as a $1000 emergency room trip. The welfare abuser doesn't care. They aren't paying for it anyway. They are going to do whatever is easiest on them and screw the taxpayer.  It creates a situation where the working poor cannot afford the co-pays and deductibles on their government mandated insurance, so they do not use the health care system unless they are in a dire emergency and are basically dying. Yet they are required to buy insurance they cannot afford to use and they get taxed for a quarter of their income to pay for the high dollar medical care (along with food, education, and housing) of those that do not work or contribute to society. Medical care that runs several times the cost of what it should because the welfare abusers do not cooperate with the system and act like they are entitled to the best care in the world. Care that the suckers paying for cannot afford themselves.  It's quite insane.