There is a philosophical and practical tension between the ideals of liberty and equality. They had long been in a state of equilibrium. That is until Obama.
Obamacare is the incremental beginning of change in the balance between component elements of the ideal of personal liberty and the notion of equality of result.
The USA exists to advance and maintain the individual liberty of its citizens. To the extent it ceases to do so, it's legitimacy is called into question. The reason that is true is because the Constitution enshrines individual liberty, but not equality of result.
The component of individual liberty that I call personal autonomy would be sacrificed to achieve the redistribution of income necessary to achieve equality of result. That's the point.