It's also not required when buying a car. You don't even have to register a car. You also don't need a license to drive a car. You can't drive an unregistered/uninsured car on public roads, and you can't drive on public roads without a license, but if you buy a track car and whoever owns the private land you're driving it on is OK with you not having a license, then you don't need those things.
I've actually swapped stances somewhat about the outcome. I had some confirmation bias due to my state being one of a very small few that saw their premiums decrease under the ACA, as can be seen here (-12%):
http://kff.org/health-reform/issue-b...-marketplaces/
That, of course, has changed. We had a +7% in 2015-2016 (no map, but raw data):
http://kff.org/health-reform/fact-sh...-marketplaces/
I predict it will get worse. And it's also worth mentioning that it's not directly the ACA, but rather the insurers and their need for profit increases that caused this. But make no mistake, even with that statement. I actually did (and still do) have some pretty wonderful insurance, and it has gotten more expensive. I understand @
ati87 s argument about those who had really cheap, but worthless plans. They existed, and didn't cover enough to actually help someone if an issue happened. Yeah, some of those people complained about their massive rate hikes. But there are people with legitimate plans (hint, the average person on a healthcare plan) who saw raises in premiums beyond what was expected an normal for yearly premium hikes.
I don't have a catch-all solution. Yeah, expanding medicare to cover everyone would probably result in average costs going down for the regular person (versus current deductibles and premiums), but that's realistically not going to happen. There's a chunk of the legislative branch that's simply not interested in how much our premiums are and how many people are covered under whatever healthcare system we currently have.