Date: 2009-03-30 12:34 am (UTC)
It isn't possible. Check out this blurb from Massachusetts, a state which tried to force everyone not covered by government programs to buy private insurance:

The Massachusetts Health Reform Act requires all adult Massachusetts residents to have health insurance if they can afford it. Residents without health insurance face a tax penalty.

Massachusetts residents with limited incomes may be eligible for MassHealth or Commonwealth Care. For other residents, the state has decided how much you should be able to spend on health insurance, based on your income and family size.

If there is no affordable insurance that you can get, you will not face a tax penalty if you do not have coverage. You can also request an exemption if you faced a hardship during the year.

"We sorta require you to have healthcare insurance, but we realize that it's not affordable, so..."

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