It's all about control - and power. A government bureaucrat having the power to decide if and when you receive health care? That should scare the hell out of any United States citizen!
It is about control.
Your lifestyle affects the costs of society’s medical system - you must stop doing X or start doing Y.
You must wear a helmet and seatbelts, you may not eat in your car or talk on your cellphone. You must drive a certain type of car, otherwise you’re endangering others with your vehicle.
It’s pervasive - EVERY aspect of your life could be controlled via this premise.
And let’s not forget - leftists tend to gravitate towards these state committees.
So, are you going to be more or less likely to speak out against leftist policy when your or your children’s medical care may or may not be approved?