How about a simple solution assuming the 45,000,000 Americans without health insurance have the ability to pass the hands-on and written tests for driving on our highways and by-ways? Simply require them to furnish evidence of being currently insured for healthcare coverage (at catastrophic levels or no fault levels if nothing else) as well as automobile coverage?

It would matter not whether the coverage is employer based, individual or government! No healthcare coverage equals no license.

That might work for people who can afford coverage, but choose not to get it. What about those who can't afford it? Now they won't be able to drive to work.

I also see a relationship between car insurance and driving that I don't see between health insurance and driving.

I, too, fail to see the connection between the two but on a side note: As soon as you figure out a way to keep non-licensed drivers off the roads could you let me know. I vaguely remember reading that someone estimated that 10-15% of the drivers on the road in Washington at any point in time are there without a license or auto insurance coverage. I think it would be fair to assume that percentage to be somewhat similar in most states.