So you think that the reason people don't have adequate health insurance is because they are lazy? Has it ever occured to you that the people that "Obama care" would cover are working people? People who work for companies that don't offer any health insurance, people who work as private contractors (an ever increasing number), people who are self employed, full time students that are not eligible for coverage under their parent's policy, people who are sick or have some disease so the insurance companies don't want to cover them.
People on welfare are covered already under Medicaid.