Right now, I'm worried that American's will be forced to make one of two choices:
1. Capitalism run-amok, will little or no gov't oversight, corporate creed beyond measure, and worst of all, privatization of basic gov't services, like education and defense. It'll be like Weyland-Yutani (Aliens) and Omni Consumer Products (OCP-Robocop).
OR
2. Gov't control of all assets and services. We've already nationalized the housing and banking industry, now insurance. Socialism isn't exactly compatible with what Americans expect. Only elitists would be spared.
Let's all remember that the 'unofficial plan' in the next couple decades is to form the North American Union, formerly comprised of Mexico, the U.S. and Canada. We're starting to look like Europe, and that sucks.
And no, I'm not a conspiracy theorist or paranoid schizo. These are WORST CASE scenerios, and I don't believe they're far off.