What has happened and where we are headed:

After the passage of the Patient Protection and Affordable Care Act, medical services issues glowed as traders, arbitrageurs, venture capitalists, investment bangsters, underwriters, hedge funds and brokers went bananas fantasizing about pie-in-sky earnings and quick profits. The euphoria wore off, and a few months later, health care investors dialed back their excitement for now. But in 2014, when Americans begin to demand their entitlements, our health care system will inexorably morph into a visceral nightmare of fraud and deceit, encouraged by wondrous mountains of government dollars for all who play the game. The surge in costs and demand will be epochal. Hospitals, dialysis centers, urgent care facilities, day surgery centers, behavioral health centers, drug companies, health benefit insurers, physician practices, etc. will become molten-hot profit machines, and dollars will flow like raindrops in Seattle. When services are provided at no cost to voters who believe health care is a government responsibility, the demand and the money to satisfy that demand will rise exponentially.