Bill DOES make a good point...I have a few high income families that deliberately make the choice to not by a qualified plan, BUT buy short term perpetually and take the penalty...At least that is still an option for the healthy...Until that is taken away as well or legislated away...
The only client I had that actually went without is a couple with 4 kids. Makes $150K. (Really $250K with prayers they dont get audited). 4000 sq ft house. Pool. 3 kids in select sports. Told me they just couldn't afford it.
A couple of months ago, she posted on FB her sons 10th bday party. With the Hummer limo.
Makes me nutty.
Life is all about choices.