Pete Stark: “Without the Affordable Care Act, the health insurance trust fund would expire eight years earlier, in 2016.”

Because it is the law, and it takes enforcement.

If we had vouchers, or whatever you want to call premium support things, the Medicare would stop being a defined benefit plan and become a defined contribution plan, would it not?

It gave every shyster and promoter a loophole. . . . We now have to keep rewriting the laws like the tax code.

First, you could pay the penalty and remain uninsured.