It is a step in the opposite direction, placing more profits and more control in the hands of insurance companies.
Universal health care cannot function in a for-profit model. Not one universal model has a large for-profit aspect, the best have none at all.
France, Germany, Norway, Canada, the pioneers have all removed profit from the equation.
It will never happen in America....at least not in my lifetime. The failures and disruptions caused by this pig will drive back that impetus and rightfully so. So bad is this law that no American should trust his government on the issue again for a decade. You had the world's best health care economists standing right next door offereing to advise. Obama ignored them. Those Canadian economists said 15 million people would have to change plans or lose them, and Obama said "if you like your plan....."
Those same economists also projected what will happen three, five, ten years from now when the mandates kick in, when the ER waiting rooms get closed by the fire marshal, that this way is your Gotterdamerung, Obama went on saying "if you like your plan" because the picture they painted, which hjas been 100 % accurate so far, is really, really ugly.
And moving to an even more, gasp, "socialist" model will not be on, the people are not going to believe it will be less costly than the rusted out, engineless and broken Edsel at Cadillac prices they are already paying for.
Obama set your tragectory back by at least ten years, maybe fifty..the smell of this garbage is going to linger a long, long time.