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I have always thought that Obamacare was step one to a single payer system like they have in Canada and pretty much everywhere else. The major problem with Obamacare is that it does nothing to actually curb the cost of the healthcare. Add in that many young people aren't signing up for it and many of those who didn't have insurance before are people who have pre-existing conditions so they now use the insurance heavily and it suddenly isn't as profitable as the insurance companies thought it might be.
The losses by insurance companies and the continuing increase in costs will be passed on to those who are able to pay, shouldering them with the burden. That amount will continue to grow until they can no longer handle it either. At some point there will be a breaking point and I think that will usher in a single payer system. Although I think we are still a ways away from that. I think it will come slowly over the next 10-20 years.
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