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If you look at people who seek a lot of care in American cities for multiple illnesses, it's usually people with a number of overwhelming illnesses and a lot of social problems, like housing instability, unemployment, lack of insurance, lack of housing, or just bad housing.

Even families with health insurance are quite vulnerable to a severe economic reversal if someone gets sick.

Simple numbers of people of a particular age tell us nothing about the condition of their health, the environment in which they live, and the support systems they can afford to pay for.

When people are left out, we're naturally going to focus on that, if it's 47 million people who don't have health insurance, if it's 23,000 people who die every year because they lack access to health care for something that's easily treatable.

People aren't going to go bankrupt anymore if they have a serious illness, which was a serious issue here in the country before the Affordable Care Act. And, in fact, the expense of expanding health care for those who need the subsidy is picked up by the federal government for most of the early years.

No one wants to go back to a situation where, if you have a pre-existing medical condition, you, you can be deprived of coverage. No one wants to go back to a situation where, if you get seriously ill, you can get thrown off your insurance. Seniors don't want to go back to paying more for their prescription drugs.

People need to pay attention to their bodies and go get a checkup. If you do that, you have a chance to help illnesses from getting even worse.

I don't get sick. I can't afford to get sick.

No one plans to get sick or hurt - I certainly didn't - but most people will need medical care at some point in their lives.