Please define "screwed". Paying more than you take out does not count, provided older people are paying less than they take out (I hope I don't need to remind you that young people eventually turn into old people).

I mean, it sounds like you're just pointing out that, if health insurance/coverage is mandatory, then you are getting 'screwed' if you don't use the healthcare system. That's like saying I'm getting 'screwed' by public transportation if I own a car.