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  The requirement that everyone have health insurance was once seen as personal responsibility, a bedrock pre-Tea Party Republican principle. Everyone is going to sick at some point in their life; nobody leaves this earth alive. If you get sick you have the responsibility to have insurance. Under federal law, hospitals must treat the sick. So if you show up sick at an emergency room, you get care. If you donﾃ｢ﾂ�ﾂ冲 have insurance or enough money to pay for the treatment, the costs get shifted to the taxpayer in the form of uncompensated care costs. Or it ends up inflating the insurance rates of other hospital patients who pay for their coverage or get it at the workplace.