This whole argument comes down to whether or not you see basic, quality healthcare (which I will loosely define as preventative, proven treatments and necessary procedures) as a right, given that the nation those citizens belong to has the means to provide it. I'm not talking about breast enhancement, though I think we can all agree it would be money well spent. I'm not aware (maybe I'm just not that lucky) of any private plans, be they HMO or whatever, that fund such elective procedures anyway. If that is indeed the case, there's still a private market for those therapies/procedures, you just have to pay, as you currently do.
To those who think healthcare should be a private matter, responsibility lying solely with the individual, let me ask you an honest question:
Where on YOUR
hierarchy of needs does healthcare fall? Above or below education? Above or below Defense? Frame it within those items that we spend federal dollars on.