It is a government requirement for the service to be paid. It could be either via private insurance OR through a government program such as Tri-care or Medicare. In either case it is forced payment. It is includes both using Federal funds and an unfunded mandate. Just as I wrote. I didn't use the term tax. Don't try to put words in my mouth.That's requiring healthcare to cover it. Anthem Blue Cross and United Health Care aren't government agencies spending tax dollars.