Ignoring the state, in other words, standing up for yourself and doing without government intrusion in every aspect of your life, is something that Tolstoy dealt with a long, long, time ago.
Check out Tolstoy’s Letter to Liberals where he answers the question: What then to do?
I posted this to my SkippingSchool.us site to illustrate how people might skip government schooling and reclaim their lives, but it applies to all things, including the health-care debate.