So, if all Americans are now required to buy health insurance or pay a fine, does thes also pertain to all the illegals in this country? Or do they continue to get get free healthcare?? While citizens pay for the public hospitals with their taxes, plus higher ins premiums to cover the subsidies for others. Middle class Americans are about to get the double whammy. I have yet to hear ANYONE address this issue of illegals. If all Americans have health ins there is no longer a need to fund these public hospitals because all citizens would have coverage. If illegals go to these hospitals for services, fine, but then they need to pay up front for their care. These hospitals should no longer get ANY tax payer money. What are your thoughts?? Seriously, interested how financially this will work.