I say allow opt outs. But make everyone that opts out understand that society will not step in and pay for their health care if a crisis occurs. An individual must realize that they cannot game the system and either only pay once they need it or force others to pay for their irresponsibility. As for states that opt-out; then the state must be made accountable for the health care costs of their citizens. How they collect that money from the people that opt out is there problem.

I say allow opt outs. But make everyone that opts out understand that society will not step in and pay for their health care if a crisis occurs. An individual must realize that they cannot game the system and either only pay once they need it or force others to pay for their irresponsibility. As for states that opt-out; then the state must be made accountable for the health care costs of their citizens. How they collect that money from the people that opt out is there problem.

Ms. Walker
I suspect you are not a lawyer (your bio does not indicate that you are). This message is meant to be helpful.
The Fourth Circuit Court of Appeals is not a "Virginia court" but a federal court that does have its main courthouse in Richmond, Virginia. The Fourth Circuit is comprised of Maryland, Virginia, West Virginia, North Carolina, and South Carolina. Judges on the Fourth Circuit come from each of these states; Maryland has three. The Court has jurisdiction over appeals from federal district courts in those states.
To say a "Virginia court" is to imply a Virginia state court, which is an entirely separate judicial system.

I predict that Constitutionality will allow for everyone to be in a universal care plan of some sort (to get the 100% actuarial base such needs to work) but that the Constitutionality will require people to NOT pay for that directly.

Time will tell... or... expansion of Medicare here we come.

Frankly I don't care which way that tips so long as we can rid ourselves of the big HI companies in the process.