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I know several people like this
(sh.itjust.works)
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this post was submitted on 01 Sep 2024
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You don't have an option to not use it. What a terrible meme lol.
Technically that's true, because it changed the law where you can't be denied coverage because of pre-existing conditions, but I'm guessing OP means he uses the marketplace thingy instead of having insurance provided by work.
(Also, the affordable care act didn't force you to have insurance, it was a tax penalty to not have insurance, but the 2018 tax act set that penalty to $0)