To quote a famous figure from the left, "What difference does it make?" The system will implode, by design, and in the ensuing chaos the hue and cry from the great unwashed masses will be," Government, help us." This is proven history.
It would be easier to rollback OBotCare to the way it was to bring back harmony.
As we all see, the Goobers running the ObamaCare program can’t even do the proper programming to get all the interconnecting insurance databases, and the related informational processing to work properly. And by adding additional tasking of government being the only primary insurance provider would entail much much much more programming that these clowns have shown us that they are incapable of doing. A humongous tasking.
Or Obama by decree could nationalize the private companies that would attempt to keep the institutional knowledge and know-how that is in place and that makes them all employees of the state.
Welcome comrades workers, your overseeing commissars will join you shortly with further instructions from your Dear Leader and on high Emperor Obama.
The popcorn will be flowing for 2014!