From Orwell's 1984 (some emphasis added):
p234 "Now I will tell you the answer to my question. It is this. The Party seeks power entirely for its own sake. We are not interested in the good of others; we are interested solely in power. Not wealth or luxury or long life or happiness; only power, pure power. What pure power means you will understand presently. We are different from all the oligarchies of the past in that we know what we are doing. All the others, even those who resembled ourselves, were cowards and hypocrites. The German Nazis and the Russian Communists came very close to us in their methods, but they never had the courage to recognize their own motives. They pretended, perhaps they even believed, that they had seized power unwillingly and for a limited time, and that just round the corner there lay a paradise where human beings would be free and equal. We are not like that. We know that no one ever seizes power with the intention of relinquishing it. Power is not a means; it is an end. One does not establish a dictatorship in order to safeguard a revolution; one makes the revolution in order to establish the dictatorship. The object of persecution is persecution. The object of torture is torture. The object of power is power. Now do you begin to understand me?"
Winston was struck, as he had been struck before, by the tiredness of O'Brien's face. It was strong and fleshy and brutal, it was full of intelligence and a sort of controlled passion before which he felt himself helpless; but it was tired. There were pouches under the eyes, the skin sagged from the cheekbones. O'Brien leaned over him, deliberately bringing the worn face nearer.
"You are thinking," he said, "that my face is old and tired. You are thinking that I talk of power, and yet I am not even able to prevent the decay of my own body. Can you not understand, Winston, that the individual is only a cell? The weariness of the cell is the vigor of the organism. Do you die when you cut your finger-nails?"
He turned away from the bed and began strolling up and down again, one hand in his pocket.
"We are the priests of power," he said. "God is power. But at present power is only a word so far as you are concerned. It is time for you to gather some idea of what power means. The first thing you must realize is that power is collective. The individual only has power in so far as he ceases to be an individual. You know the Party slogan 'Freedom is Slavery." Has it ever occurred to you that it is reversible? Slavery is freedom. Alone-free-the human being is always defeated. It must be so, because every human being is doomed to die, which is the greatest of all failures. But if he can make complete, utter submission, if he can escape from his identity, if he can merge himself in the Party so that he is the Party, then he is all-powerful and immortal. The second thing for you to realize is that power is power over human beings. Over the body-but, above all, over the mind. Power over matter external reality, as you would call it-is not important. Already our control over matter is absolute."'
For a moment Winston ignored the dial. He made a violent effort to raise himself into a sitting position, and merely succeeded in wrenching his body painfully.
"But how can you control matter?" he burst out. "You don't even control the climate or the law of gravity. And there are disease, pain, death-"
O'Brien silenced him by a movement of the hand. "We control matter because we control the mind. Reality is inside the skull. You will learn-by degrees, Winston. There is nothing that we could not do. Invisibility, levitation-anything. I could float off this floor like a soap bubble if I wished to. I do not wish to, because the Party does not wish it. You must get rid of those nineteenth century ideas about the laws of nature. We make the laws of nature."
"But you do not! You are not even masters of this planet. What about Eurasia and Eastasia? You have not conquered them yet."
"Unimportant. We shall conquer them when it suits us. And if we did not, what difference would it make? We can shut them out of existence. Oceania is the world."
"But the world itself is only a speck of dust. And man is tiny- helpless! How long has he been in existence? For millions of years the earth was uninhabited."
"Nonsense. The earth is as old as we are, no older. How-could it be older? Nothing exists except through human consciousness."
"But the rocks are full of the bones of extinct animals-mammoths and mastodons and enormous reptiles which lived here long before man was ever heard of."
"Have you ever seen those bones, Winston? Of course not. Nineteenth-century biologists invented them. Before man there was nothing. After man, if he could come to an end, there would be nothing. Outside man there is nothing."
"But the whole universe is outside us. Look at the stars! Some of them are a million light-years away. They are out of our reach forever."
"What are the stars?" said O'Brien indifferently. "They are bits of fire a few kilometers away. We could reach them if we wanted to. Or we could blot them out. The earth is the center of the universe. The sun and the stars go round it."
Winston made another convulsive movement. This time he did not say anything. O'Brien continued as though answering a spoken objection:
"For certain purposes, of course, that is not true. When we navigate the ocean, or when we predict an eclipse, we often find it convenient to assume that the earth goes round the sun and that the stars are millions upon millions of kilometers away. But what of it? Do you suppose it is beyond us to produce a dual system of astronomy? The stars can be near or distant, according as we need them. Do you suppose our mathematicians are unequal to that? Have you forgotten doublethink?"
Winston shrank back upon the bed. Whatever he said, the swift answer crushed him like a bludgeon. And yet he knew, he knew, that he was in the right. The belief that nothing exists outside your own mind-surely there must be some way of demonstrating that it was false. Had it not been exposed long ago as a fallacy? There was even a name for it, which he had forgotten. A faint smile twitched the corners of O'Brien's mouth as he looked down at him.
"I told you, Winston," he said, "that metaphysics is not your strong point. The word you are trying to think of is solipsism. But you are mistaken. This is not solipsism. Collective solipsism, if you like. But that is a different thing; in fact, the opposite thing. All this is a digression,"' he added in a different tone. "The real power, the power we have to fight for night and day, is not power over things, but over men." He paused, and for a moment assumed again his air of a schoolmaster questioning a promising pupil: "How does one man assert his power over another, Winston?"
Winston thought. "By making him suffer," he said.
End of quote.
Control of all healthcare is a powerful way to make people suffer, either directly or through their friends and families.
A takeaway: The left and Democrats did not see Orwell's 1984 as a warning. They saw it as a game plan.
And in fact still do...