Obamacare is designed to fail and lead to a single-payer system. Howard Dean needs to get with the Alinsky program.
It's pretty clear that the corporatist goal is get out of the business of having to provide healthcare to employees, retirees, and dependents. They want to push the costs directly onto the government and therefore the taxpayer. This explains why the GOP establishment is allied with the leftists to make this happens in the very near future.