IF healthcare is provided at prices comparable to those at Costco, and it is equal or superior in quality to that which insured individuals currently have, than I don't personally see anything particularly wrong with companies that have been charging more for less going out of business. Certainly, there will be some job loss at the commercial insurance companies - think of all of those poor individuals whose jobs are to think of ways to deny benefits interpret company policies and procedures.

By the way, Members of Congress have exactly the same health insurance plans as all other Federal government employees, and they pay exactly the same amount for it. And it isn't cheap.