Even as Democrats seek the biggest expansion of health coverage in decades, as many as 23 million people could still be without insurance by 2018, illustrating the complexity of achieving the long-held Democratic goal of universal health care.

But those who would be left uninsured have drawn little attention. This is in part because their ranks would include many who choose not to get health insurance, even though they can afford it — such as some healthy people under 30, who have little effect on rising health-care costs because they rarely go to the doctor. Though starting in 2014, individuals would face fines if they do not buy coverage, some may still refuse.

Illegal immigrants
About a third of the uninsured would be illegal immigrants. Neither party supports expanding insurance to cover them, even though states spend millions caring for them at hospitals, where emergency rooms accept patients regardless of coverage.


http://www.msnbc.msn.com/id/34664303/ns ... gton_post/