Sometimes you have to wonder if the Obama administration set up the Affordable Healthcare Act to fail so that they (or later similarly minded administrations) could swoop in and enact a complete nationalisation of the healthcare industry once the terrible system collapses.
As I mentioned here, I think it might be a maneuver for a public option. However, I don't think Obama has any intention for nationalization. Some people said that about the banks and the auto industry. It's not really his politics. He let Geithner guide his response to the subprime mess. He's not really the caricature the GOP has made of him. He's a federalist, no doubt, but he also is a proponent of the status quo. IMO he wants to engineer a better way to pay for poor and lower middle class people's medical expenses. -And I think forcing the creation of a public option might be his stragegy.