On the radio today, a caller had a unique situation; under the Massachusetts health care program he made too much to qualify for the state run program and the cost of health care for him & his wife was roughly $900 a month , so he opted out, now the state is fining him $2,000. If he could not afford $900 a month, why do they think he is willing to be fined $2000 ? The radio host had this guys local rep on too, and was calling for any lawyer to help since no one has yet filed a class action suit against this.
If you are illegal, free medical & all services , no questions asked, but if you are a tax paying citizen then it's a fine and they will garnish your wages for it.