That's exactly what it creates. The obvious strategy here is, "baby steps". The insurance lobby is ferociously powerful. They only accepted the PPACA (with many provisions which hurt their profits) because of the quid-pro-quo with the mandate.
The provision of the law which stipulates companies must spend 80-85% of premium revenues on healthcare expenses are an obvious giveaway: "you're allowed to make only this much money".
The next steps, after this is settled law (i.e., Republicans stop trying to repeal it), are to narrow those margins, then introduce a national healthcare system for everyone which these insurers must compete with.
It makes even more sense than a single-payer system (which eschews the benefits of competition), but you can bet there will be continuing political drama over healthcare for the foreseeable future...
The provision of the law which stipulates companies must spend 80-85% of premium revenues on healthcare expenses are an obvious giveaway: "you're allowed to make only this much money".
The next steps, after this is settled law (i.e., Republicans stop trying to repeal it), are to narrow those margins, then introduce a national healthcare system for everyone which these insurers must compete with.
It makes even more sense than a single-payer system (which eschews the benefits of competition), but you can bet there will be continuing political drama over healthcare for the foreseeable future...