What liberties are you willing to give up for a social safety net? Do you have the right not to purchase health insurance? Can you choose to smoke a cigarette? Do you have the right to drink a large soda? These are rights you may be giving up for universal health insurance not tied to risk. Our current health care costs are becoming tied to income not to risk, so there is no financial incentive for consumers to make good choices. To lower cost the government will either ban things it believes raises costs or heavily tax them.