Read it again moron. See the part at the end about Galt having NO INSURANCE?<quoted text>
If you could read, you imbecile, you would note that the all-cash payment refers to the utilities and food...
If someone has NO INSURANCE then either that idiot pays cash or he is a freeloading public moocher that makes other taxpayers pay for his health care.
"Galt pays far more for utilities and food every year than for medical care, all paid in cash, with no insurance ."