If they want to not have insurance, that is that individual's (and family) problem. But, so is exorbitant insurance premiums. As to the exorbitant cost, THAT is the fault of Republicans who sought to sue to stop the state exchanges and their (and the administration's) fault for not paying into the exchanges to cover insurer cost and risk — the direct reason they pull out of exchanges. Insurers are wary of their risk of not ever being paid. (Despite promises by this and the previous administration and the promise of legislation that they would be paid for their exposure.