Not sure how that makes it a – which raised this question: who exactly are these people? Surely they are not among those more than 20 million who now have health insurance which they couldn’t afford to have previously? Or those with pre-existing conditions who no longer can be denied coverage? Or those young adults who can now be covered under their parents’ insurance as needed until the age of 26? Or those millions currently on Medicare, since the financial solvency of this program has been extended by 11 years as a result of the implementation of various provisions of Certainly there is the mandate for at least minimum coverage, along with its associated tax penalties – but people have a choice here.