It was what Obama and Dems wanted all along and why they passed the ACA when they knew it would fail. They knew it would cause those already insured to lose their plans, they knew it would increase premiums, they knew it would fail to cover those well below the poverty level and fail to subsidize their insurance premiums rather choosing to throw them to Medicaid, they knew it would destroy the private health insurance system, they knew it would put many Doctors in private practice into bankruptcy, they knew it would put many hospitals and clinics out of business. They knew it would raise taxes on the middle class, they knew it would raise the deficit and debt. They did it betting on the only alternative to be a "single payer system". A system that would raise taxes on all, decrease the income of physicians and surgeons(to the point that fewer will enter the field), a system that will give the federal government control over all aspects of medical care, treatments, drugs, tests, surgery, and our personal health information and the like. It will be a disaster just as the PPACA will be.