Well if Medicaid covered these 50 million people that we are talking about, then what are we even having this discussion? There are alot of people that can afford insurance, but decide to roll the dice, and then get sick and run up huge medical bills and we pay for it, then there are people that are making minimum wage that their employer doesn't offer insurance, and they really can't afford buying it on the open market because premiums are ridiculous, so to your point about being dragged into this you already are because of the people going to the emergency room with no health coverage......