The rats have the answer in the federal health care bill: price controls, rationing, global budgets, single payer, and many restrictions on private health care outside of the rat health care regime. The health care bill provides federal authority to impose price controls on state insurers. We have just seen the beginning of the skirmish. When the smoke clears, private insurance and much of private medicine will be finished. The only remaining insurers will be effectively government controlled.
That was their plan all along.