Just like in France the "state" will set pricing for medical professionals. (Making them state employees). Recently Health Care professionals went on strike because the payments received by the state did not cover their malpractice insurance premiums.
Under Hillary Clinton's health care bill, there will not be a multi tier provider system. (It wouldn't be fair if you were allowed better care if you could pay for it.) We would all be treated the same.
I don't think we can hold off Universal Health Care of some sort. The masses want it for free. But I want to take this opportunity to thank GW for my Health Savings Account. I get to pay for what I need. No more, no less.