I personally have VA coverage, my total bill each year is around $500. My wife has no insurance and we save around $10,000 dollars a year on average by not having insurance for her right now. If we had the same taxes as British Columbia I would pay on Average more than the cost of insurance in taxes at my current income, most of the EU or New Zealand I would pay even more! I would rather have no medical insurance for my wife and be able to negotiate cash pricing than pay the 20 to 45 percent income tax that I would have to pay in the rest of the world instead of the less than 10% that I pay in Florida. I also like our 7% sales tax versus the 12 to 20% the rest of the Western world pays! My next new car will cost me $2450 in sales tax versus $4200 in BC and $7000 in most of Europe!