You won't have a choice when you his Medicare age.
I know I'm right, this is what they want. Some stupid lawsuit to screw up future ones. They can then point back to a decision made in federal court and most likely cover 85% of the possible cases with something like this.
If people were really smart, they would push hard their states to first opt out of everything and then sue based on an unfunded mandates forced on them and the issue of insurance regulations under the tenth amendment, that will screw it up.
The other thing that everyone is missing is this, we need representation of the states returned. Get rid of direct voting of senators so the state now have a voice. You do know that countries like Germany has state representation?