Performing in adult films is an inherenently high risk occupation. 18 year olds don't ordinarilly think long term. I'll bet that 99% of college students don't carry health insurance either. They just do not perform in a high risk proffesion.

The question is how to implement health care, not if it should be done. Burg points out that white trash chix or mexicans could jump over the border, make one film and say "where's my healthcare." So you have two choices, (1) membership to a porn guild or (2) Conky's idea of having AIM impose a fee and dole out cash for emergency cases like Nikki hunter.