You are right now today paying for people who are uninsured. You are paying in terms of higher premiums which have raised consistently for years, and for less service. You pay in prices for services (like a $16.04 bandaid at your hospital). You pay by seeing business lose in competition to companies in foreign countries who have a universal insurer and don't have it linked to their employers. You cannot really pay more than you are now. You just don't see the cost. Not as up front as you should. If you did, you'd be mad as hell and not so inclined to think this was a huge change for the worse.