The whole point is to impoverish as many people as possible so we have either Medicaid and or Medicare for the majority of Americans.  Kinda like single payer by default.  The feds will negotiate prices below cost so that the premiums of employer based insurance will be several times the inflation rate to make up for the shortfall, which in turn will create a vicious cycle of further impoverishment among middle class workers.  Then more workers will hang it all up and leave the workforce, many will hire an attorney and apply for disability and get on the dole like over half of America is already.