Before Obamacare, health care insurance regulation had been a state function, and each state had written laws mandating that all health insurance policies written in the state must cover certain services.

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It will turn them into essentially passive middlemen, who no longer appraise and control risk, but who merely perform the administrative function of doling out health care benefits.

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"Patient navigation, in part, is a function of how fragmented our (health care) system is, " Pratt says.

CNN: Helping patients navigate the health care system

On health care, Huckabee says the current system does not let the free market function because the overwhelming share of the cost is picked up by the employer, while employees, who benefit the most, pay a small fraction of the bill.

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Unfortunately, though health care is changing rapidly, traditional medical education focuses on teaching physicians to function solo, learning the details of diagnosing and intervening, but not so much the complexities of engaging disparate groups of clinicians, including nonphysicians, in common cause.

WSJ: The Experts: How to Improve Doctor-Patient Communication

"It is an important function of GP's to iron out health inequalities - we are committed to promoting excellent care for all patients what ever their needs, " said Royal College chairman Mayur Lakhani.

BBC: Photo of woman having her ear examined

Will the people who enroll in it or in private plans that function like Medicaid get more care, or better care, than they would have gotten without health reform?

FORBES: John Goodman on Medicaid Outcomes