What "choices provided by private insurance"? Because insurance is linked to employment (or, perhaps, college enrollment), and is essentially unaffordable to anyone who is not in a covered group, the vast majority of privately insured individuals have essentially no "choice." You take the insurance your employer offers. If you work for a state government or large corporation, you might be able to choose from a few different private insurance companies; most others have to take whatever carrier their employer picks. This notion that we all have "choice" is a delusion encouraged by insurance companies themselves. Members of a college's group plan have neither more nor less "choice" than members of an employer's group plan.

These buzzwords like "choice" and "rationing" have been co-opted by the health insurance companies and healthcare conglomerates and have been so distorted as to become meaningless.