Healthcare decisions can still be between patient and doctor. But not on my dime. You have no natural right to force me, under threat of fine and imprisonment, to pay for any of your healthcare, let alone a procedure with which I fundamentally disagree. There is no magical "federal" money. The government has nothing that it does not first take from someone else. When you want the government to pay for it you are saying that all other citizens must be forced to pay for it. Now try to convince me why you have a right to force me to fund something I oppose. And keep in mind that truly good ideas don't require force at all.