Buttigeg's prevailing concern isn’t the maintenance of the Constitution, or the free practice of faith that it protects, but the advancement of his own political ideology. And that’s no principle at all.
Trump aims to maintain deterrence against US enemies, but without Pavlovian military interventions, and without being baited into optional military action that is antithetical to the national mood that got Trump elected.
The last thing a patient needs after getting hit by a surprise medical bill is to face a complex, confusing “arbitration” process. Congress can protect patients from surprise bills and lower costs by avoiding arbitration.