If Democrats take control of Congress, they'll go with the public option first, which was supposed to be the centerpiece of Obamacare in the first place. It'll take some time, but that'll force most of the private insurance business into bankruptcy. Essentially private health insurance will be something that wealthy people purchase to get better service, higher reimbursements (and therefore better doctors), and broader coverage than a government plan would offer. It's similar to what Germany has.
If Republicans keep control of Congress, they'll demand a full repeal of Obamacare and an industry-favorable wish list. There will be a big showdown with HRC, and they'll settle on some kind of compromise that gives the industry some but not all of the goodies it wants. In return, Congress will expand Medicaid or children's health insurance programs. In other words, billionaires in the insurance industry and dirt poor people will get help, and the middle class will get no meaningful relief.
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Last edited: Aug 24, 2016