"Gaming the system" related to healthcare suggests to me that you willingly get sick so that you can "cash in" on treatment.

So to "earn" the right to actually get treated for your condition under the current system without being considered a freeloader you have to:

a) Sign up for the golden handcuffs of employee-based insurance. Now you are tethered to your job, with little "incentive" for the "productivity" of entrepreneurship. You are a cog in the wheel, dreams dashed, because your family depends on Daddy Corp for affordable healthcare

b) Buy healthcare on your own through private companies. Oops. You had a diagnosis once that suggests to the profit-making insurance companies that you might actually COST them money. Sorry. No insurance for you. Or, yes, you "get accepted"! Happy day! You now have earned the privilege of paying more than your mortgage payment on a monthly basis for your insurance.

c) Go without healthcare. Why not "pull yourself up by your bootstraps" and simply save up the money for a little rainy day of cancer or diabetes? You do have that American Dream of a McMansion--just go sell it. It MIGHT cover your medical expenses as long as you're not underwater on your mortgage.

Gee, now that Obamacare is here, I can't WAIT til I get sick so I can finally abuse the system and live off of you healthy taxpayers. Life is good!