The insurance rackets will, it seems, come under stricter federal guidelines, but they will still maintain their monopoly advantage, and then some, since they now will have approximately thirty two million more people paying them premiums either directly or via government subsidy. Of course many of the putative benefits will not take effect for years, though rest assured that will not delay the government levying taxes to pay for the promised changes well in advance of the delivery of service. It should go without saying, and should give no comfort, that many of the legislators responsible for this "reform" will be long gone, including, quite possibly, Obama himself, by the time this program is supposed to be fully implemented.
Finally, I hope it is clear that my objections to this so called reform have nothing to do with the furious assault waged by The Republican Party who, from the beginning, have been bad faith actors in this drama. Had they been in the position to deliver "reform" it would undoubtedly have been even more of a bonanza for the insurance industry and Big Pharma than what just passed.