Ever since the affordable care act was passed, the right wingers have been going into a complete rampage over having to actually grow up and get health insurance, instead of just freeloading off the rest of the hard working americans. Now to shut them up and for them to keep their "freedom", should there be an opt-out clause? By signing an opt out wavier, this would mean an up front payment for all medical services. If they require expensive treatment, this will all be need to be paid up front (cash, no credit or loans would be applicable) and the same with a 911 call or emergency. They would have to "carry their papers" such as a bank statement with a debit card or credit card (no checks) to cover the likely $600 ambulance ride, plus $1,000 to walk in the door of an ER. From there the care would be only administered by how much funds they have available. Run out, then you get a wheel chair ride to the curb, no matter how sick. Sound fair?