Personally I'd be surprised if it doesn't still exist within the next 20 years. I don't think that much has changed in regards to how much political power this industry has. Just because the people are starting to get on board with single payer doesn't mean the politicians are going to care.

I think most people see ACA's failure as a failure of government regulation, not as a failure of private insurers. If anything the pendulum is going to swing the other way, and we'll see more privatized healthcare in the near future (5-10 years).

It's market participants, with a huge stake, trying to fix a disastrously broken government-corporate healthcare system that has gradually failed for about a dozen big reasons over the last 20 years.

It depends on whether or not you view healthcare as a basic right for citizens (in the same sense as education and law enforcement etc.)

The free market coming up with a co-op approach that may only benefit the handful of companies involved only benefits me if I’m in one of those companies.