Reply #145: I think you could compare it to the fine imposed by single payer countries.

[Gwendolyn]

Although the fee for health care is taken from one's taxes, if you don't pay them, you're fined. That fine doesn't apply to next year's health care fees either. Not an exact analogy and only works for the self-employed, but guess there's the same sentiment behind it. Everyone's got to pay in for it to work.