There are many doctors who are switching over to a cash-only payment system, which cuts the insurance companies out of most day-to-day health care. This is the way it used to be and was a primary reason why we had good health care at low cost. Insurance should be for the “big stuff” (catastrophic).
This will work until the government requires that doctors take health insurance or they won’t be able to practice medicine.
I do not believe Obama will allow private medical care after single payer is implemented. It isn’t ‘fair’ that some will be able to afford private doctors. There aren’t private doctors in Canada.