A few months university of michigan reproductive medicine The current system is wrecked, but Obamacare would only make things worse. Hope of political support for marketplace healthcare seemed a joke. One-fifth of Americans are already on Medicaid. That Obamacare was designed to erode away the private healthcare industry was a given. As far as competition goes, it looks like private sector healthcare in the state is shaping up to be a choice between Blue Cross/Blue Shield and Blue Cross/Blue Shield.