I give her credit for taking the time to share her views and to put some thought into this, although the basis of her statements is poor.
Health reform could have gone in two basic directions on the spectrum of privatized vs. socialized, we went fully in the privatized direction, not in the direction of HHS. (Private/for-profits insurers and providers were not only not hampered by the changes, much of it went in their favor). You can have a private insurer system, a single payer system, or government managed insurance, she seems to argue against all of these, I'm not sure what her proposed alternative is.
Insuring the previously un-insured won't suddenly add a whole bunch of high-burden patients. Patients with chronic, poorly managed CHF are already bogging down our hospitals, whether or not they have insurance, broadening coverage just means this patients are more likely to be managed in the outpatient setting rather than with repeat hospitalization, which is exponentially more expensive.
The one group we do expect to see more of is elective procedures, which she argues are the only thing that gives hospitals enough income to keep Nurse
atient ratios up, so she should be all for more elective procedure patients.
There will be less specialist MD's, although that's not due to Obamacare, which is a very, very good thing. One of biggest money drains in our system is over zealous (and over compensated) specialists.