yes........ it is much easier to control a big organization than many individuals. The way the government will control costs is through mandates like meaningful use , clinical care guidelines , ACO's and reduced reimbursement. These financial carrots and sticks are put in place to achieve whatever the "social justice" flavor of the month is in Washington.
Ex the 2009 change in breast cancer screening. I know 0 doctors that changed the way they practice based on this "recommendation" .
Basically this panel of clinicians setup by government said
"Mammography screening at any age is a tradeoff of a continuum of benefits and harms. The ages at which this tradeoff becomes acceptable to individuals and society
are not clearly resolved by the available evidence."
But they tried to change the age that mammogram screening starts from 40 to 50 anyway. The reason why mammogram screening still starts at 40 across the country is the few physicians believe or respect this government panel.
I believe patients will figure this out and there will always be a vibrant "private" health system. Hopefully a libertarian Supreme Court will block efforts to "ban" Concierge medicine, but you never know nowadays the ends justify the means. http://finance.townhall.com/columnists/paulhsieh/2011/12/30/who_will_your_doctor_work_for_under_obamacare/page/full/