Physician-blogger Dr. Wes has some good insights on the future of American medicine in "A Look Ahead".
In particular, he highlights trends to anticipate under the growing centralization of health care such as loss of privacy, less contact with primary care physicians, and increasing reliance on algorithms.
Although some of these trends may be good if they had evolved in a free market context, in the context of ObamaCare they often represent market responses to external government compulsion.