Because people die without healthcare. If you are so serious about protecting the unborn, why wouldn't you want the living to stay alive? what is it, the right to life, liberty and the pursuit of happiness in America? I bet if you got phnemonia without health insurance you wouldn't be pursuing any happiness and you might lose your life. Seems like a violation of our bill of rights as a citizen to be left without medical care even if we are poor. The legislation was passed by the elected representatives of the American people. The people wanted this and voted to make it happen. We've been mandated to pay for retirement through social security. What's the point if people die before they reach the age limit? See what happens if you drive without car insurance and then tell me the government can't require you to purchase something. The constitution isn't the ten commandements, it can change through votes. It's a growing document that evolves as the American peoples needs grow.