Why can't we simply get the feds out of healthcare/health insurance altogether? If one values health screenings, they will make them a fiscal priority and pay for them. Why should our better off neighbors be compelled to pay for the care of their less well off fellow citizens? Attempting to ensure equal outcomes in life does not support liberty. Some are born as winners of the genetic lottery (that allows them to be smart, get rich, be healthy or all of the above), others aren't.