Aye, it should be up to individuals, and I understand not wanting government in health care. Americans can be pretty unhealthy, it's one of the perks of living in an industrialized western nation with some of the cheapest and most abundant food on the planet (combined with the sedentary life style) We have so many resources at our feet, that even the poor can get fat. But the doctors and pharmaceutical companies, insurance companies, etc. are also taking advantage of average Americans, charging gigantic co-pays for asprin and trying to get their patients hooked on any pill they can, just because they get paid more doing it. The whole system is a mess.