Absolutely, that's just what I mean. Either we should let people die/go bankrupt if they end up in medical trouble and don't have insurance and can't pay (which

Absolutely, that's just what I mean. Either we should let people die/go bankrupt if they end up in medical trouble and don't have insurance and can't pay (which is obviously morally and societally undesirable and doesn't seem to make practical sense anyway) or we should ensure that everybody is part of the system. I don't really see an alternative and this seems fundamental to the US health care debate.