Coming from the slimes, this is just a clarion refrain for single payer and making these doctors and hospitals government run. Watch for this in the very near future.
Exactly. The people at the NYT know exactly where they intend this to go:
Many of the problems may well be the growing pains of a young, evolving system, which established only broad standards for A.C.A. plans and allowed insurers — a large majority of them for-profit — considerable leeway in designing their exact offerings. The specific requirements and policing mechanisms vary by state, and are still works in progress.
The "growing pains of a young, evolving system" is the tipoff. Anyone going from a $100 deductible to a $5000 deductible has lost all insurance coverage but catastrophic. Exactly as intended. You get the voters so deeply into debt (they've done this with student loans as well) that a federal solution is the only way out. Instant constituency. There may or may not be a warm place in Hell for these people but there's certainly a very warm place in politics.