This is the opposite of the free market.

If collectivizing highly personal medical decisions is evil, then so follows that collectivized medicine is evil.

[Obamacare] was almost the perfect example of politics in the Bubble Era, where the time horizon for anyone with real power is always close to zero, long-term thinking is an alien concept, and even the most massive and ambitious undertakings are motivated entirely by short-term rewards. A radical reshaping of the entire economy, for two election cycles’ worth of campaign cash – that was what this bill meant. It sounds absurdly reductive to say so, but there’s no other explanation that makes any sense.

Let's run the experiment.

Eugenics has always been the escape valve of single payer socialized medicine. Havelock Ellis was writing about them as one and the same prior to the fin-de-siecle. Culling out of control population growth and the economic drain of the incurably sick has always been a part of socialized medicine.

The thing they're trying to stop is 30-million people getting health insurance. That's the substance.