Thought we are all required to have medical coverage by now?)
Doesn't mean all of us will comply with the law.
Sure - you can either owe the IRS for life, or join the Christian Science church. An atheist friend goes to Wednesday services haphazardly, to get the letter from the pastor for the religious exemption. Very nice people to hang out with (they referred him to a company that hired him a few weeks later, after 6 months unemployment) and they do not even care if you actually claim their religion, or anyone else's.
Or I guess you could go with the plan and go down in a firefight against the Establishment as planned... I prefer to be just left alone to hike, myself.
Someone without sufficient income probably qualifies for Medi-Cal - it's free, and the restrictions have become less restrictive. Still doesn't pay for a medi-vac, but it beats fines and you don't have to bother going to the doctor.
The fines are actually tiered - it increases to $1200 over three years. I looked it up being on the verge of starting my own business and not caring to pay through the nose for insurance until I could afford to. $369 for an annual fine, or $350 / month for insurance. Math and pragmatism win - I would have just taken the fine or gotten medi-cal (not uncommon to go in the hole in the first year of business for some things).
And, I would have been able to hike more, increasing the risk of wilderness incidents.... I must be charmed indeed to not ever have to be evacuated considering how many people I've hiked with over the years and how many risks have been taken.... The older I get, the more aches and pains, the fewer risks. Mortality sucks.