Increasingly, health care can be provided remotely. Video exams, remote testing & evaluation, doctor consultations can all be done from outside the USA. Medical R&D need not occur on US soil.
Decades ago, if you wanted a VW Van, it was cheaper to buy it in Germany & ship it to the USA, while enjoying a nice vacation, than it was to buy that same VW Van in the USA.
Obamacare could be so expensive & so bad that elective or non-urgent surgery becomes cheaper & safer in Martinique, plus you & the family get a nice recuperation/vacation on a tropical island.
Medical R&D is probably going to shrink severely no matter what. The American market is the only reason that Medical R&D is done at all in the world. Nowhere else in the world are citizens allowed to pay patent prices for new medicines. R&D costs must be recouped from the American market. No matter how the Medical professionals get around American socialized medicine, the market in the USA for new patented medicines will shrink drastically. R&D will slow or cease.THAT INCLUDES ANTIBIOTICS. New miracle drugs can be lived without. We have not become used to their existence. Antibiotics, on the other hand, must be replaced continually with new antibiotics as the pathogens develop immunity to current drugs. Once the American Medical market is socialized, and it probably has irretrievably crossed the threshold, the development of new antibiotics will cease. In 10-20 more years we will be medically approaching 1910- you get sick you die.