Obamacare will fail first and it will all get rolled into one big single payer scheme.
Despite the insistence of the left, there isn’t a true single payer system in the developed world. All of the state-dominated health systems are two-tiered. France, with its “Medicare for all” style system, has a more robust supplemental insurance market than the US. Even Canada, supposedly a “single payer” system, has a 70/30 public/private split of health care payment. This is in comparison to the US, which is 50/50 public/private.
Regardless of what happens, there will be numerous ways around subjecting oneself to state control of health decisions. Ex-US medical tourism will explode even if there is a clamp-down by the government in concert with “private” payers.
Save your pennies, though. The emerging science of ultra-longevity will benefit the elite only...