Try to keep it simple. The ultimate goal of Obamacare IS a single payer system. The IRS WILL be the vehicle to "administer" the "fairness" and "evenness" in the system. Then the "organizations" out there can "request" relief from the plan, probably in the form of campaign contributions and using only union labor going forward. That is strictly conjecture but politics and human nature says I am right on the money. Our healthcare system is being modeled after the Detroit school system. Have fun, guys.