Paying fines? This would be good, only that my people in this region would rather pay than go(depending on the amount).
There is this thing with people and rebelling against direct authority that never ceases to amaze me. Isn't it funny that people would rather pay a fine than do what saves their lives?
Honestly, mandatory medical checkups will save a lot of lives and money.
Humans can be very negligent and mistake foolery for smartness.
Mandatory checkups are just the best way to go.