The beaurocrats really want single-payer healthcare, but it's not politically feasible to create such a system as of yet. They have to destroy the private insurance industry first by forbiding companies from discriminating against people with pre-existing conditions. Thus we will now have a wildly irrational insurance industry in which the healthy opt to pay government fines rather than healthcare premiums, and the only people purchasing insurance will be the sick. This system will go to shit faster than you can say Hillary Clinton, and in a few years, they'll say capitalism has failed and that we now need socialism. We'll get what we asked for, alright.