Liberty
Libertarian Minded
Regarding "We all have different needs, varying risks" the problem is we don't know our medical needs and risks beforehand. Does anyone know if they'll contract cancer or diabetes? Have an accident? How can anyone possibly make an informed choice? An analogy would be car insurance. One does not insure their car for damages resulting due to an accident at an intersection only. Or on a highway only. Or in a parking lot only. Any and all damages are covered (liability) because one has no way of knowing where an accident will occur just as one has no idea what illness they'll contract.
Car insurance is affordable for most.
Health insurance is not. (At all)
Can you afford health insurance out of pocket?