Based on this statement alone, it would be an absolute waste of time to discuss the merits or constitutionality of the mandate with you. So I won't. Not true. Everything you say afterwards is wrong because that is simply untrue. The government should guarantee that you get what you pay for and that contracts between individuals and organizations be upheld (contract enforcement). The government should levy stiff penalties on companies that cheat their patients (contract enforcement). Companies should be expected to cover patients with pre-existing conditions but they would be able to charge different rates for different patients in a free market (allow the free market to function freely). The government should also eliminate all tax breaks and loopholes for health insurance companies (actually all corporations) and require greater transparency (get out of the business of subsidizing corporations). Finally provide a safety net of tax-payer funded, patient-first/planned parenthood-type clinics for qualifying citizens (i.e people who demonstrably cannot afford health insurance). All people who show up for emergency care would receive it. If they have insurance, good. If not, they'll be billed and treated like student loans are treated. For the circumstances where a citizen suffers from a chronic disease with lifetime costs beyond those the individual or his company can afford, the government can subsidize that individual's treatment.