nah, the majority of Americans who have govt funded coverage now, still use a MCO (managed care organization) to manage their benefits and adjudicate their claims. The world that consumers/patients face, won't change much, except hopefull the money part. Eg Medicare via Humana, or Medicaid with BCBS etc... will still be the norm.

The feds don't have the admin backbone in place (and the states def. dont) to run comprehensive coverage. Execs and paper pushers who work for insurance companies will either get govt jobs, or just become govt contractors. A few CEOs and stock holders will be pretty sad, but the change will be seamless or an improvement (federal benefits anyone?) for most people who work in the insurance sector (and hospital billing offices). Health care is about 16% of the GDP, no one is going to let it change that much.

@MarkiusMahamius We will see. I give the American public more credit for intelligence. Further, universal healthcare will still constitute a substantial, but lesser percentage of the economy. But the difference in cost will result in growth in other sectors of the economy, due to the lesser personal expenditures for healthcare..

@wordywalt intelligence has nothing to do with a sustainable healthcare system, and it certainly has nothing to do with corporate america or uch of our federal politics

@MarkiusMahamius Do you realize how dumb and demeaning that sounds?