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badgenome said:

I'm not sure you understood the Cato thing. Medical coverage as a necessity =/= medical necessity.

The argument CATO would make is that you can stop differentiating when something is or is not a need.  I was trying to reach for one example here, and it was a bit of  a stretch to find something.

And individuals will say that emergency rooms = sufficiency.

http://www.washingtonmonthly.com/archives/individual/2010_12/027194.php

http://www.perrspectives.com/blog/archives/001571.htm

 

What is a medical necessity outside of someone needing medical help?  I don't see anyone say the person has a "BMW necessity".  A BMW is a not a necessity.