Rush Limbaugh asked the hospital in Hawaii to send him a bill for the care he received. He paid them immediatly by check. He is what many call "self-insured". That group includes Tiger Woods, Oprah Winfrey, and millions of other Americans.

It is unconstitutional to force people to but things they don't want.

Car insurance is not the some situation, since we choose to drive on roads that are owned and built by the government.

You need no insurance or drivers lisence to operate a vehicle on private land.