1. Once you have control of the financial powers of the U.S. via the tiny Elites of the Congress, the Executive Branch, the Federal Reserve and the U.S. Treasury, then the rest of the government will follow.
To the degree that ownership of the Healthcare cartels is in the hands of the same Financial Power Elite, then the passage of the 2,300 page "Healthcare Reform Bill" in 2010 was simply another way for the Power Elite to expand its share of the national income.
The health of the citizenry or healthcare per se had essentially nothing to do with the passage of this monstrosity. The entire purpose was to increase the Elites' share of the national income by siphoning off an ever-greater share to the "healthcare" cartels.
2. This is how the Stealth Coup D'Etat works: the machinery of governance grinds through a simulacrum of democracy, but it's all for show; the theoretical structures are now completely different from the political realities. The citizens were against the bailout of Wall Street and the money-center banks 600-to-1; they were rightly ignored as inconsequential.
The citizenry replaced the political party leadership of Congress and the Presidency; absolutely nothing changed except the flavor of PR, spin and propaganda. The Power Elites and their Stealth Coup are apolitical. They don't care about the color of your uniform; whether you wear a blue shirt or a red shirt is inconsequential.