having health insurance and having health care are not the same thing...of course the ideal is for everyone to have insurance, but we always have had and always will have the safety net for those who can't afford it....even illegal immigrants receive health care at the expense of the US taxpayer! the goal is to have good health care! when doctors are not accepting either the insurance nor the medicaid, then we do not have good health CARE! and the same is true for when deductibles are so high that the insurance is basically useless.