health care and education

Will the government's increased role in health care cause it to more closely resemble the education system?  The U.S. public school system used to be world class.  It clearly no longer is as a whole.  But, some private schools and higher education institutions continue to be very good (for a price).  And teaching is generally a second-choice career.  Will medicine follow?  Where, because we start with today's quality, it will be hard to perceive its decline for many years?  And we will find ourselves in a two-tier system where many of the participants receive the lower-tier quality?  And, perhaps far into the future, agitation for vouchers or similar market based incentives (needing the years in the desert to internalize that the highest quality medicine cannot be available for all for free)?