My boss Sam Karnick, from his perch at The American Culture, examines the cultural implications of health care reform. They aren't pretty:
(A) public without a strong understanding of what individual freedom really means and the reasons why it is precious has little defense against the ever-increasing encroachments of government—until something as obviously grotesque, wrongheaded, and overweening as this health care bill comes along.
That’s what makes this fundamentally an issue of culture, and it’s why those stubborn souls who persist in believing in individual rights must engage the culture, especially by wresting control of the public schools from the hands of the progressive myrmidons who have debauched it.
...(I)t’s clear that the real concern was that the option of personal choice was being taken away from individual citizens in this vital area of life. The power to control people’s health care, in addition to the hegemony over the one-sixth of the economy which it represents, conveys to the government an enormous amount of control over individual lives, a level of control surely unprecedented in this nation.
This is not regulation; it is rule. And the public finally realized that the current government does not intend to be gentle in its rule.
I don't really have much to add, except to say that the health care reform debate casts in stark relief, perhaps more than most people would like to admit, how there really are two Americas -- one that believes in the relative benevolence of the state and one that believes in its relative malevolence. One needn't be an anarchist to hold the view that the size of the state is inversely proportional to the size of the citizen. Bigger state, smaller citizens. Bigger machine, smaller cogs.