It's as easy as ever to sign up for health care as long as your income and circumstances fall within the lines drawn by the buerocratic machine, and you live in the right state. Otherwise it's cheaper to risk paying the penalty down the road. The market place provides me with plans whose premiums are higer than my gross income, and deductibles that are that much more again. I dont qualify for Medicaid in my state. My income is to low for tax credits to apply. And as I said, premiums exceed my gross income. Yeah it's exactly as easy as it was last year to.sign up. I could at least afford a small policy before the "afforable" health care act, but oddly those policies are no longer available. This entire system is a disaster, and a money eating machine.