Unfortunately, when people tell me they the Federal Insurance Contributions Act and resultant SSA Old-Age, Survivors, and Disability Insurance program aren't insurance I think we're into the realm of "don't confuse me with facts". Again, the really absurd thing is that all the conservative challenges to the healthcare law are based on it doing what those same conservatives demanded: Making national healthcare a PRIVATE rather than PUBLIC service. Had Obama told them to go Cheney themselves and pushed through a public option we wouldn't be having this discussion, and would all be a lot better off because, despite their disingenuous motives, the GOP challengers to the law are right that it's a bad idea to require every American purchase insurance from the same private companies that had already made it so unaffordable for so many. Again, whether it's actually unconstitutional or just monumentally stupid and counterproductive remains to be seen.