How about this? If you don't want to buy health insurance (even though if you're poor it it's payed for) you don't have to. But if you get in a car wreck, sorry better have cash or you set on the sidewalk outside the emergency room and bleed to death. Why should you be able to not pay, then expect to get treated anyway? You got greedy, gambled, lost. One could argue your removal from the gene pool serves the common good. But given the whole country to shop for judges you can find one to rule anything you want. It will be overturned on appeal and everyone knows it.