While maybe a physical fitness test isn't the best remedy for this, it seems that including some sort of easy to implement health assessment in order to be eligible to receive "obamacare" just makes sense. (think something pretty low impact, like walking 3 miles in an hour) We're not against people getting healthcare, but would just like some way of knowing that at least if were paying for it, everyone is doing something to hold up there end of the bargain. And of course adjustments can be made for age/disability, just don't get carried away.
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