Ezra Klein predicts

…if the Affordable Care Act falls apart, the next time Democrats get a crack at passing universal health insurance, they’re going to want to do it in a way that avoids Republican obstruction and can’t be questioned by the Supreme Court. The most obvious policy path that achieves both goals is to expand public programs like Medicare and Medicaid, as that can be done through the filibuster-proof budget reconciliation process and it can’t be touched by the Supreme Court.

At the link he asks for alternative predictions.  I am not sure the Democrats would have enough support — from other Democrats that is — to push through such a change.  Note by the way that Ezra is not endorsing his prediction, relative to ACA.

What are your predictions?