It’s a slippery slope. All the things that may end up left out of the bills now (abortion, euthanasia, etc.) may be slipped in later once control is handed over. What I am fearful of is that the bishops are either letting their own personal or ‘institutional’ (USCCB) opinions intrude or else simply being short-sighted by approving of a concept that will subvert the autonomy of the individual conscience.
As history abundantly proves, it is true that on account of changed conditions many things which were done by small associations in former times cannot be done now save by large associations. Still, that most weighty principle, which cannot be set aside or changed, remains fixed and unshaken in social philosophy: Just as it is gravely wrong to take from individuals what they can accomplish by their own initiative and industry and give it to the community, so also it is an injustice and at the same time a grave evil and disturbance of right order to assign to a greater and higher association what lesser and subordinate organizations can do. For every social activity ought of its very nature to furnish help to the members of the body social, and never destroy and absorb them.
—Pope Pius XI, Quadragesimo Anno, 79
If you want to talk about conscience, then feel free to discuss free will and each person’s willingness to give to charity to help those in need. But I for one do not accept the premise that government confiscation of revenue for whatever reason beyond the most basic necessities is a legitimate means to provide for those in material need.