INDIVIDUAL FREEDOM MANDATE
I, __________________________, freely choose to not buy health insurance for myself or my family.
DO NOT RESUSCITATE
If I, or any of my family members, lose consciousness, stop breathing, and require emergency care for any reason.
[CENTER]DO NOT TREAT ME
or any member of my family members for any medical emergency if the total bill would likely exceed ___________dollars.
I am a free individual responsible for my own decisions