You know those in power now want single-payer, right? That Obamacare is just the first step towards that?
The only way single-payer will emerge as a politically viable proposal is if the individual mandate is struck down, at which point single-payer will be the only possible mechanism left to achieve universal coverage. I don't foresee that happening but if a universal private system proves to be unconstitutional, a universal public system (presumably a tweaking of Medicare) would then probably rise to the top of the policy debate.
"Obamacare" is not a step towards that. Eliminating it (i.e. ruling out a near-universal
private system) as a viable option probably would be a step toward that.
If they have their way, yes, there will be government bureaucrats making healthcare decisions. And yes, those decisions can mean some people will be denied care.
Ah, and here it is. You know this law doesn't do that, you acknowledge that it doesn't do that. But in your mind some future bill might someday do that and so it somehow becomes intellectually permissible to suggest this bill
does do that.
Which is a perfect example of why, as I said, "the entire rationing discussion is an exercise in intellectual dishonesty."