The problem I see with the religious liberty crowd is their major rationale relies on the fact they think they can shove costumers off to other providers.  So in a very real sense they are using other people to bulwark their conscience decisions.  It's like a six year old telling a neighbor kid "I don't have to let you use my ball.  You can go use Billy's".  The problem with this rationale comes when their is no other neighbor kid and that does happen in rural America.