Or maybe we should just disentangle health care from employment..
Bonus, there's even MORE motive (of the 'means, motive, opportunity' triangle) for them to continue turning the surveillance state against ordinary folks to find out "who's actually smoking and lying about it to their doctor?"
ACLU called it back in 2006 - https://www.youtube.com/watch?v=JMCjnZyU1Lg
Using my country as an example, any attempt to meddle with the universal healthcare system is treated with immediate and intense hostility by the voting public. The government floated the idea of introducing a $5 copay several years ago and it was met with almost unanimous contempt. The idea was promptly canned.