This is what Obama planned! He wants rates so high people won’t/can’t buy it so they’ll have to use the insurance exchange in each state.
Since so many states refuse to set them up and won’t have to because the Democrat law makers screwed up and didn’t make it mandatory for the states, I expect that in 2014 he’ll go for broke and go full NHS. If they get back the House in 2014, it’s a done deal. That, and confiscation of guns.