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The question is, will Americans be required to choose between obeying a law or breaking it? That is, will it be illegal for Americans to refuse to pay into the health care program if they don't want to use it?Yes, it is still a choice. Just because you don't like the consequences of making that choice doesn't mean that the choice is not available to you. Refusing to exercise your choice does not mean that anything has been taken away from you. It simply means you have decided not to make a choice.