Yeah...good points.<quoted text>
It would depend if he values the "add-on" service enough to buy into and whether he could get it (pizza + preventative health)cheaper from a competitor.
His counter argument would be that he would have no choice but to buy the add on regardless - since the govt is violently forcing all the competitors to do the same.(See, even I have an inner libertarian!)
To hear him tell it, every year they come around with guns drawn to collect taxes.