I choose to not participate.
I go out of my plan for Dental and pay more, but guess what? My choice! For the exam, it cost 380 dollars, but I only paid 58 dollars (I imagine that if I went in the plan, it might have been free). I have a cleaning on the 20th of May...not sure how much I will pay.
Libs generally have been working hard to eliminate many choices we have, such as the choice of religious beliefs and choosing to own firearms or not. This is nothing new.