Agreed. I'm 24 and the overriding reason why I haven't started a startup is that for the past three+ years I've had my hands full supporting my family, who fell on hard times due to the economic downturn. I can't risk my parents being on the streets dying from lack of healthcare. I'm willing to take the risk for myself, but right now my parents have nobody to turn to.

It's exceedingly clear to me that "they would start a startup anyways" takes a very privileged view, as if risks are there to be taken willy-nilly, and the fallout of a failure nothing much in the grand scheme of things. That may be true for the self, but if others depend on you, it's a whole different perspective and some responsibility must be taken.

I completely agree. When you have a family with serious (but treatable) medical conditions health insurance is not an option. Even if starting a business or doing freelance work would lead to a bigger paycheck: it wouldn't offset the loss of employer health insurance.

Agreed. Certainly I can rationalize losing healthcare for a period of time, the risk could very well be worth it. Risking inadequate care for my wife and kid is a much more difficult proposition.