RT Journal A1 Stillman MD T1 ENough, already JF JAMA JO JAMA YR 2012 FD December 12 VO 308 IS 22 SP 2347 OP 2348 DO 10.1001/jama.2012.14475 UL http://dx.doi.org/10.1001/jama.2012.14475 AB Since 2006 when then-governor Mitt Romney signed into law a virtual twin of the Affordable Care Act, only around 5% of Massachusetts' population lacks health insurance. In my Louisville clinic, however, 60% of the patients are uninsured, and they represent the full spectrum of ethnicity, age, wellness, and employment status. While our hospital offers uninsured patients reduced-cost office visits, access to inexpensive generic prescriptions, and sliding-scale charges for laboratory testing, they pay full price for imaging studies, certain preventive vaccinations, and diagnostic tests, including cardiac stress tests and sleep studies. They receive only the care they are able to pay for themselves and lack reassurance that their next minor illness won't destroy them financially.