Absolutism has dogged freedom fighters at least since the Renaissance, in large part due to the unification of power into the hands of the State. Regardless of whether the form of power is monarchy, oligarchy or democracy, the State has become giver and protector of rights. The natural state of man as a free entity born with the right of self-determination is no longer applicable as individuals are born into servitude to the State. The State is now burdening unborn generations with debt and obligations which will be forced on these future generations with no need for their consent.
The State philosophy is that its institutions are what allow individuals to live and survive, therefore the State defines the rights of its subjects. No longer is government a limited service of the people, by the people and for the people, operating only as long as we consent to its legitimacy, limited to protecting our borders, policing and providing a means for dispute resolution in courts -- government now has absolute control, and it allows a measure of freedom as it chooses, with the understanding it can restrict this measure of freedom when necessary. This makes individual rights irrelevant.
If the challenges from the states regarding insurance mandates fail, it will be clear that government can exercise any degree of control and coercion it desires. The government has de facto control over us all. By circumventing Constitutional limitations through clauses related to the public good and interstate commerce, government has effectively bypassed the original limitations, just as government did in the 30s and other times of crises or urgent need for change. This sounds hyperbolic only because the government has yet to use its full power -- but the stage has been set by the precedents, and all it will take is a crisis deemed severe enough that it calls for drastic measures, measures which might not be repealed after the crisis. We're following the historical script when other movements of freedom stalled out and allowed the return of dominating forces. This is nothing new, but it's not inevitable. The Big Bang of liberty can spread, but it takes more than the laws of physics -- it takes diligent individuals unafraid to live free.