We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
With our inalienable rights to life and liberty, one might assume that among our unenumerated rights would also rest the rights of voluntary association and contract (such as the relationship between a doctor and patient) and the right to not buy insurance if one doesn't want it, as well as the right to opt out of a government health scheme. One might also assume that individuals have an inalienable, natural right to not report their medical status to the government.
The Founders were clear that such unenumerated rights would be recognized by natural law -- that is why they wrote and unanimously approved the Declaration of Independence -- but our natural rights may not be protected by constitutional law. Barnett has also wondered whether "mandatory insurance" is unconstitutional. However, given that our natural rights are inalienable, meaning that government may not take them away for any reason, it really should not matter if any of the health care proposals in Congress are unconstitutional.
Natural Rights... What to do whenever any Form of Government becomes destructive of these ends? Well, it is the Right of the People to alter or to abolish it, and to institute new Government.
"We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.--That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed, --That whenever any Form of Government becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute new Government, ..."
My quick analysis says that rights never require a direct personal expenditure on the part of the people. For example, to exercise the First Amendment right may require that I choose to spend money for a full page ad in the NYT, but doesn't require that I do so. The full exercise of the Second Amendment may require that I spend money to purchase firearms and ammunition, but doesn't require that I must buy a Colt nor does it require that I exercise the Right right now (but implicitly, the Right will be there when I choose to exercise it)!