I suspect real insurance companies will institute a 30-60 day wait for the coverage to kick in.
You probably won’t be able to break a leg and get insurance right away.
However, it is clear that the administration wants *free* health care and they are not going to wait 4 years.
What we will see soon is a dramatic increase in free clinics and sever restrictions on medical debt collections.
I suspect that before long paying for medical services will be, for all practical purposes, voluntary on the part of the patient and Doctors will be disallowed from turning away someone in need.
And when that is the case there will be a terrific shortage of doctors because all the competent ones will retire, go into another line of work, or move offshore as the British doctors have done. The government will have to compensate for that by drafting students into medical studies and maybe reducing the course to AA status. For those of us near the coasts a plane ticket and treatment in Costa Rica or Grand Cayman will be the choice. I expect insurance companies will also arise offshore and the more discerning young people will get that insurance as "catastrophic coverage" to guarantee the ability to get major work done and will go offshore annually for physicals out-of-pocket. The actual cost of treatment in an offshore clinic or hospital will be quite a bit less than it is now in Georgia or Wisconsin because it will be actual free-market medicine and will not have to support hordes of bureaucrats and Medicare-caid patients. I am too old to be eligible for such insurance when it becomes available but, hell, my government is going to kill me off anyway when I retire and am no longer sufficiently "productive." I suspect herbs and "alternative" medicine will be banned and will have to go underground or I will have to get my glucosamine and saw palmetto also offshore. Then again by the time this all kicks in I expect there to be a progressive closing of the borders to people trying to exit.
Medical tourism is already a reality and growing in Britain and Canada.