It’ll probably result in a huge black-market medical industry.
Bingo. Exactly.
Restricted to the people who can pay for it.
In other words, in the interest of trying to make medical care more widely accessible, we are going to make it less available, and we are going to shift the advantage even more toward the moneyed class. Money and connections always gets you better treatment, and under Obamacare this will be even more true than it is now. This is something people don't get; central control always begets oligarchy. More central control begets more oligarchy.
If Mexico has any sense, it will turn into a huge fee for service health care state, absorb most of our MD's and other medical personnel to service patients from Canada and the US.