It is obvious that the "architects" want to go one step further. Once the government is the single payer except for a handful of plans, they will dictate terms to the health care industry. Unlike today's debacle in Medicare in which the hospitals can shift costs onto better paying private plans, that option will no longer exist. So hospitals will shut down and be replaced by government run clinics "for the children, etc".
That will be the death of our health care system, a lot of vulnerable patients and a large portion of the economy including the mainly American industries that supply health care. More than likely the architects will pick up the slack by importing deadly "medicines" from China and foreign workers (rather than Mexicans, your pills will probably be pushed by someone in a burka).
The final step in Obamacare is to replace any actual care that costs money with happy pills. DId you just pull a ligament? No MRI for you, or if you get an MRI it will be read by a government-appointed specialist who has been mandated to give you the "right" treatment (the government will use stories about children who were denied the "right" treatment by evil profit-seeking medicine). The right treatment in your case will be happy pills because surgery costs money. Physical therapy costs a lot too compared to pain pills.