Oh, that's an easy one. The communists rush in on their white horse to give us true government run health care.
I don’t think it is quite that easy. I think what is going to happen is that we are probably going to get down to about three or four insurance carriers - Aetna, Blue Cross, United Healthcare and maybe Cigna. Aetna has just merged with Coventry, Cigna and Great West have joined forces, United keeps taking over a larger share of the market, including handling claims for a huge group of military recipients who were covered by Tricare. And, of course, you have AARP which is also part of United Healthcare. Blue Cross is in every state. Will all the Blue Cross plans merge? Who knows. But I do believe that at least three of these carriers are setting themselves up to be in a position to handle a single payor system and most likely United for everything except Federal employees who will remain with Blue Cross and School Districts who will remain with Aetna.
Doctors getting out of networks, refusing to take any insurance and a basic lack of providers is also going to play into this scenario. OTOH, medical care may end up being like it was when I was growing up a long time ago and people didn’t go to the doctor unless they really were ill.