Single Payer - By Hook or By Crook

In reality, as government assumes a greater share of health-care costs, pressure to cut payments to providers will be enormous. Reduced government reimbursements to providers will cause massive cost-shifting to those remaining in the private health-insurance market. More employees will lose coverage. Before long, we will have what the left has long sought—a single payer health-care system modeled after Medicaid.
In recent testimony before the Senate Appropriations Committee, Health and Human Services Secretary Kathleen Sebelius told me that America's health insurance system is in a "death spiral." She failed to acknowledge that implementation of ObamaCare will be the cause of that death spiral, and American taxpayers will be left to pick up the tab.
http://online.wsj.com/article/SB10001424052702304724404577289363234579868.html?mod=WSJ_Opinion_LEADTop

I'm not totally sure they meant for it to happen this way - are they that smart?- but could there be any question that this was the intent when the administration took office?