Yes. This is common (in the US) for solo business people with families. When I talk to self-employed people, few want to discuss health insurance. The topic seems to be taboo. Maybe some are going without insurance? Obamacare does not address the issues of a solo business owner. As far as friends who run solo businesses, those who would discuss the topic all said that they had their wives get random corporate jobs (e.g., at a retail bank location) to provide health insurance.