If the SC upholds Obamacare as "constitutional" They're going to get their National Healthcare Service... The first thing that happens is a gigantic entitlement to the poor.. Thy get free healthcare. Then, you have an increasing number of older people receiving some of the most expensive medical care on the face of the planet, and this burden is, realistically, shifted to the young.. As they're paying for their entire lives as opposed to a portion, and it will be decades before they will make the most use of the care they are paying for.. This will be good for the boomers, the X-ers and not generation Y. However, the demographics of Generation Y will make it attractive to the same people who never seem to recognize a Ponzi scheme.. Even when they are directly in the middle of one. The problem comes in when costs aren't contained.. and they won't be at all. In any way. Between the mandate and minimum coverage requirements (Which are in place to soak the young, and shift the burden of care for older Americans onto their shoulders) all market based controls are severed. Cost containment becomes an impossibility... The only thing left will be edicts from DC, and that's not enough. (They're doing such a great job with Medicare, aren't they?) The problem will continue till healthcare becomes a major economic burden. You'll never repeal it. It will lead to untold intrusion into our private lives.. The poor will never give up their free care.. The insurance companies will warn of collapse. The providers of medical services will warn that they will not be able to keep their doors open if the system is reverted. You will have people working part time to avoid triggering the mandate.. which will become the ultimate in tax bracket creep. At such a point where the economic burden is too great.. All that's required to implement universal care is to simply extend the "free" care the already poor receive to all.. and create a mechanism (tax) to fund it. And, by that point, a bunch of people will welcome the change. It will, in all likelihood, be sold as cheaper than the insurance they are currently forced to purchase... And, at that point, this may even be the truth.. But once it takes hold, you cannot repeal it.. You cannot revert it.. It will become politically impossible. The logical next step is the creation of a National Health Service. The odd person out in this scenario could end up being one of Obamacare's strongest supporters.. Big Insurance. Doctors and medical personnel will always be required to administer treatment. Pharma is safe, because medicine revolves more around drugs than at any point in history.. This is a trend that isn't going away.. But what about Insurance? While they could be accommodated in a national health care scheme, there's no compelling reason to do so.. Who needs it when the funding and disbursement mechanism is federally controlled?