Noam Scheiber of The New Republic argues that Obamacare is inevitably leading to a single-payer system, and wraps up his argument with this:
The basic point is that, by pooling millions of people together in one institutional home — the exchanges where customers buy insurance under Obamacare — the Affordable Care Act is creating an organized constituency for additional reform. And since threadbare coverage is the only affordable option under Obamacare for many of these people, the law is giving them a whole set of grievances to get exercised about.
So it forces any American who doesn’t have health insurance to either pay a tax of 1 percent of their income or to buy coverage that stinks, and one of the “benefits” is that it forces Americans with this “threadbare coverage” to “get exercised about” “grievances,” namely a longtime liberal policy priority that they previously preferred to not think about it at all.
This is not a particularly good defense of this law. I mean, unless you enjoy disrupting Americans’ lives and health care in order to force them to become advocates for your policy preferences.