As one of the 40 some odd million Americans without health care, I resent the popular politically expedient assumption that I don''t have it because I can't afford it. Although there are probably many in that number who, indeed, cannot afford it, let it be known, for the record, that there are also millions of us counted in that number who do not want or need it.
There are three important and very rational reasons why millions of us do not want health care as it is administered today. One fundamental reason is that we have found a way to experience virtually free health care by having taken responsibility for our own bodies. We do that by seeing to it that we never knowingly or willingly ingest processed foods, foods laden with pesticides, herbicides, antibiotics, hormones or other harmful chemicals and hydrocarbons. If we eat meat we eat only organic or range fed products that are certified organic by credible institutions other than the U.S.D.A. If we eat dairy products, the same criteria applies. We avoid all forms of processed sugars including chemical substitutes such as Equal, Splenda, NutraSweet, high fructose corn syrup, aspartame and the like, choosing instead wholesome and beneficial sweeteners such as Xylitol and Stevia and the like. We never use tobacco products and those of us who drink coffee prefer organic coffees in moderation. We ingest little or no alcohol and if wine is consumed on occasion, we prefer organic wines with no sulfites added.
The proof of the wisdom of being responsible for our own bodies is in the results.  As a group, studies have proven, time and time again, dramatic decreases in the incidents of all cancers, diabetes, high blood pressure, high cholesterol, heart disease, alzheimer's, and lung and liver diseases to name a few. All this without the aid of modern prescription medicine.
The second reason for our rejection of the health care system as we know it is that most, if not all of us prefer the holistic approach to health care and the insurance companies have not seen fit to pay for these methods of health care, that actually work, preferring instead to fund only so-called mainstream doctors as a direct link in the drug dispensing chain that supports the pharmaceutical companies. 
Natural methods that are known to cure disease are, to us, much preferable to the drug induced cover-up of chronic illnesses that actually have a cause and a cure. We believe that no illness has ever been caused by a lack of the right cocktail of  synthetic drugs flowing through the human body.
The third reason is economic. It costs something in the neighborhood of $1000 per month to insure a family of four under the current system. That's $12,000 per year and $564,000 over the working lifetime of the average individual, and even if that cost is shared by an employer it still remains the same overall cost. The truth is that only a tiny fraction of the insured population ever come anywhere close to racking up that kind of price tag in order to pay for any unforeseeable major illness. That means, in a nut shell, that it is cheaper to pay the doctor when and if the time comes than to pay the insurance company each month, from a mindset of fear that if we don't we will surely die. The system is also inflationary due to the fact that it promotes higher demand on the system. Health insurance is like having a credit card. It allows you to spend money that you don't have. Unlike car insurance where you have to have had a real accident in order to get coverage, health insurance allows you to go to the doctor any time you feel even the slightest bit off, whether you are really sick or not and, more importantly, whether the doctor can even help you or not. You can walk into the doctor's office with virtually a blank check in your hand, any time you feel like it, and run up a huge tab for no other reason than...you can. Economics 101 for Dummies can explain why that doesn't work in terms that I believe most of us can understand.
Our healthcare system in America is perpetuated by a constant barrage of fear on the one hand and consummate greed on the other. It is not about who gets healed, it's about who get paid. Our food industry is making us sick and obese and is playing right into the hands of the health care industry who is saying "take on of these and just keep doing what your doing". Actually healing this nation would be bad for both businesses. We are addicted to health care in this country and care virtually nothing about health. Until we can universally will ourselves to cure our own severe case of cranial-rectal inversion and take back our power over our own health on a massive scale, we will continue to suffer disease and will continue to be jerked around by a health care system that profits more from our illness than from our well being.