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The democrats plan all along was that it would fail, but would morph into a Euro-style single-payer NHS.
The GOP promised to kill Obamacare in 2015, not long after the rats shoved it down our throats late in the evening Christmas Eve 2010. When everyone was distracted, feeling warm & fuzzy.
Strangle this little monster in its cradle. Now.
The traditional NHS model is the regional hospital trust, with entities corresponding to the Mayo Clinic and the Cleveland Clinic being trusts of their own.
What we have in Northern Virginia (iNova), Baltimore (Johns Hopkins) and many other places are very similar in operational structure to the tradition NHS trusts.