Sure it is a choice and one that if you make the "wrong" one you should expect to pay for.
What do you suggest for those who need to '..pay for it..'.
Consider this scenario. A person with no health insurance, who has managed to fund all basic requirements, is diagnosed with a nasty life threatening cancer. He/She cannot fund the costs to treat this...
Society (via some government state/federal/city or county)then either....
1-Finds a methodology to treat them anyway purely out of a moral caring commitment (the money has to then come from taxes) , or
2- Can have a lower moral commitment and say help fund a safe place to die in dignity, but no health treatment (less call on taxes), or
3- Can advise '..no help shall be granted..', die at home or if the landlord kicks you out on the streets, as to quote dogs4thewin, '..you must pay for it..'. (ie Having no health insurance.)
BUT Society must also figure out all the other social issues such as, what to do with dependents, should children be around watching mum/dad die, who will deal with the body......
QUESTION- If the US already has Medicaid and Medicare, what is the big deal in having federal government ..........
1- Identify that health is a number one priority for US citizens,
2- Medicaid shall be turned into a compulsory, not for profit, health insurance with a certain minimum of cover,
3- Folk shall
automatically be taxed to cover this federal insurance BUT those who choose may identify that they have chosen their own health insurance, which may happen to be a state/employer system, and that compulsory tax will be waived.
There is therefore free choice of health insurance provider BUT you are not free to opt out of funding health in the same way you are not free from opting out of funding the roads that you use.