The Supreme Court will rule next year on the constitutionality of the healthcare reform passed in 2010. But constitutionality notwithstanding, Republican opposition to the new law has been vigorous and consistent. In recent GOP presidential debates the candidates have been unanimous in condemning it, in particular objecting to the requirement that almost all Americans obtain health insurance or pay a penalty. On the surface, Republican and conservative opposition to the new requirement seems perfectly logical. There is a long history of conservative preference for limited government and individual responsibility. But scratching the surface of those principles reveals a murkier picture.