I've said it before -- universal health care is inevitable. And, I've said what I think the motivating factor will be -- big business will demand it.
I don't think it'll happen anytime soon. But, it will happen -- not because of a peasants' revolt, but because one sector of the economy finally recognizes that they're getting screwed over by another one.
...and, to add -- if it doesn't (I think it will), it's because the fellow travellers of the PNAC crowd, the ones who managed to ensure that the 21st century won't be dominated by American foreign policy, will ensure that we won't dominate economically either. In other words, if it doesn't happen it's because larger forces at work have destroyed the American economy.