If the Left had been able to pass a single-payer plan in which the government imposes a tax on everyone under the taxing power and uses the revenues to provide health care at government hospitals by government doctors, the Supreme Court would find no problem with that constitutionally.
But the Left knew an open attempt to pass a single-payer system would not have had a chance. So they did it community-organizer, stealth-style.
No, they won't outright nationalize the insurance companies, at least at first. The model used will be quasi-government entities like Fannie and Freddie.
Fannie and Freddie were a way for the government to dominate the residential mortgage market without openly appearing to do so. Financial players understood that these were essentially government entities that had the credit of the US government behind them, but they were placed off-balance sheet.
The same with the health insurance companies. They will merge into a few super-behemoths will political hacks like James Johnson or Jamie Gorelick in the executive positions.
Eventually, they will have to bailed out by the US government at which time the cry from the Left will be to fold them into the government directly in the name of efficiency. Kind of like how the government has taken over student loans, except a much bigger deal.
I think you’re one of the few who recognize how meager these court victories really are.
They don’t have to lift the whole body of liberty up and hack it apart limb by limb.
They just feed her skirt into the machine and let the gears do their work.