Nothing Orwellian about this. It's quite benign.
That is what tyrants and their supporters always tell the people that they are enslaving.
Completing an HRA would continue to be voluntary, and the information would be solicited in connection with an ERISA group health plan... That keeps the information confidential so it cannot be used for employment purposes by the employer.
Right.
And the Income Tax and SoSec were supposed to be voluntary too, and it was actually printed on the SoSec Card I still have that says 'For Social Security Purposes Only - Not for identification', and we see how well that 'selling point' lasted. Try opening a bank account or obtaining a driver's license without one.
History teaches that anytime a government says something is voluntary - it will be made mandatory in short order. Likewise anything they say is confidential and cannot be used for something, will be used publicly as a weapon against those they are seeking to control.
Only fools and those desiring the implementation of tyranny would make the insistences that you do.