Nonetheless, it remains important to look at the bill itself rather than the debate and news stories surrounding its passage. The biggest reason health care reform is so urgent is because there are more than 40 million Americans without health care today. For these people, a serious injury or illness can result not just in not receiving timely and adequate health care, but in devastating financial burdens as well. People without health insurance, of course, always had the option of buying health insurance from a private insurance company, but telling somebody without a lot of money to spend thousands of dollars on health insurance was something of a "let them eat cake" solution to the problem. The uninsured tended to be unemployed or concentrated in low paying jobs and could scarcely afford this option.