With the IRS doing the collecting I can't see how you can refuse.
Well, you can, but who among us is going to have the intestinal fortitude to fight them in federal court over it? I seriously hope there are a few.
Right. They will fine and or imprison you for noncompliance. No one can escape the IRS unless you go underground which is not easy to do, e.g. Galt. However I refuse to cut off my nose to spite my face. I will continue my standard of living as long as I can. Of coourse my company is still paying most of my healthcare ... Thus far. :-)