From a political philosophy standpoint, this is exactly why many people oppose a single-payer healthcare system. When the government is paying for everything it creates a financial incentive for an intrusive nanny state. We can argue about the positives and negatives, and maybe we would be healthier overall, but many Americans simply don't want the government telling them what to do.

https://press.uchicago.edu/ucp/books/book/chicago/R/bo413854...