What about people who can afford health insurance but not a five-digit bill, and choose not to buy health insurance, knowing that emergency rooms will still treat them anyway if they get in a car wreck?
I know one person who fits this description. He is nearing retirement though as opposed to being someone young, and feels it is a waste of money to buy insurance if the hospital won't turn him away if he comes in seriously ill or badly injured without plans for paying. It kind of boggles my mind though since he is socially conservative and actively involved in contributing to community service projects. Perhaps he just happens to be an exception of sorts to the norm?
Everyone else I know without health insurance wants it but feels they cannot afford to buy it.