If you choose not to work at all or can't work for some reason you can get free health care now in Washington and free food and free housing and free schooling and lots of other subsidized stuff. If you stay in a job you hate that you have just to get access to health care subsidized to varying degrees by your employer you can quit but if you seek gainful employment in a job that doesn't offer any health insurance you can't currently get coverage from the new plan just passed but in a few years if the plan is still there as passed you will have to have insurance or pay a fine. It won't be free. If the congress manages to pass the public option, which is not in the current bill, you might be able to get cheaper insurance or maybe even free insurance. Pelosi's comments may be confusing to some I suppose.