They don't stick the tax payer right now. They stick every other consumer at that hospital. Moving the burden from the individual hospital to the nation as a large evens things out a bit.
However, the OP in this is a bit misleading. If choose NOT to get health insurance, you must pay an additional excise tax (this is the thing that Obama said wasn't a tax). If you don't pay THAT tax, then you can go to jail.
It's not a big issue. Pay your taxes people.
Perhaps yes, perhaps no.
The prosecution dropped its allegations of tax evasion (on which the law provides a maximum prison term of five years)[7] against Cryer on July 9, 2007. Cryer was then tried on two counts of willful failure to file tax returns, for which the maximum jail sentence is one year in prison.[8]
Cryer was acquitted on July 11, 2007.[9] Cryer did not make any of his arguments about the legality of the income tax to the jury itself. Instead he asserted that he really did not believe that he owed the taxes, so there was no criminal intent. According to the New Hampshire Union Leader:
Cryer convinced jurors that he genuinely believed he was not liable for the $73,000 in taxes the government says he owes for tax years 2000 and 2001. Absent proof of criminal intent, the jury acquitted him.[10]
Cryer's 2009 Tax Court case
In 2009, Cryer's federal tax problems continued. On April 2, 2009, Cryer filed a petition in the United States Tax Court. Cryer's petition includes a copy of three statutory notices of deficiency issued by the Internal Revenue Service, all dated January 5, 2009, in which the IRS asserts that Cryer owes $1,719,436.71 in taxes and penalties for the years 1993 through 2001.
The IRS asserts that Cryer owes $848,806.00 in Federal income tax plus $615,384.37 in section 6651(f) penalties for fraudulent failure to file tax returns, $212,201.50 in section 6651(a)(2) penalties for failure to timely pay the taxes, and $43,044.84 in section 6654 penalties for failure to timely pay estimated taxes.[15]
Cryer's statement in the petition, in explanation of why he disagrees with the IRS determination, is: "The amount of the claimed deficiency is disputed. The correct amount is $0.00." Cryer has requested that the trial be held in New Orleans. No trial date has yet been set.[16]
http://en.wikipedia.org/wiki/Tom_Cryer#Cryer_files_motions_to_dismiss_tax_evasion_charges
Don't hold your breath until a trial date is set.
I hope that the IRS will take him to trial because if they lose, game over.