Agree. Obama has so many ways to motivate or punish states that don't comply. If a state does not cooperate, how many other Federal programs suddenly don't operate for that state, emergencies don't get funded, key officials get special attention from the IRS, DOJ, etc. Also, the collapse of Obamacare, after it destroys the private insurance industry and drastically damages the health care industry, is a goal. Then in the ensuing chaos, Obama will offer single payer and government run facilities.
We’ll get single payer when Big Business can no longer carry the insurance load and demands it.