If you want to drive, but this would require health insurance simply for being alive, the alternative to which most of us do not consider an acceptable option.

If you want to drive, but this would require health insurance simply for being alive, the alternative to which most of us do not consider an acceptable option. There are a lot of areas in the US (most I'd venture to say...) where driving is essentially a necessity once someone has a full time job. Its not like we have a great public transport system. So while you can technically opt out of driving, its not really realistic to do so in most places.