What is "authoritarian" is a handful of people - like Madame Secretary Sebelius and her people at the HHS - deciding what everyone else gets - or doesn't. If you don't like your employer's insurance, you have the capacity to find another job. When the government dictates the insurance terms, you have NO choice. The flaws in arguments like yours are myriad, but one of the most glaring is that you are fine with government coercion as long as it coerces the way YOU like. But once the principle is conceded, the government will of course be able to coerce in ways you DON'T like. (For example, perhaps, with a different administration.) I am arguing in favor of a system that limits government's power and preserves individual choice.