Consider the following two questions. Are you willing to drop your health insurance policy immediately and go without health insurance indefinitely? Are you willing to enroll in a study where you are randomized to receive health insurance or go without health insurance for a long period? If your answer to either or both of these questions is “no,” then we should stop asking whether insurance matters and move forward toward insuring every American.

There’s no time to waste in court battles. Americans are dying unnecessarily. And, the U.S. health care system has plenty more problems in need of immediate and urgent attention, including the primary care workforce shortage, the unsustainable costs of care and the disparities in health care access. Let’s get people insured.