Two extraordinary things have happened in the field of health care this decade. The first is that Congress passed, and the Supreme Court allowed, a law that will effectively kill private health insurance companies by squeezing them financially from multiple angles. Just last week the Secretary of the Department of Health and Human Services, Kathleen Sebelius, piled on by "requesting" that insurance companies provide coverage for customers who haven't yet started paying their premiums.
You don't need to be a mathematician to figure out that an already boxed-in insurance company can't afford to cover people for free.
The second extraordinary phenomenon has been the performance of health care provider stocks since the passage of the "Affordable" Care Act. Between August 2012 and November 2013 alone, the health care provider sector has risen 50% compared to the 30% gain for the broad S&P 500 index. Either somebody out there thinks health insurance companies are going to make more profit by making insurance more affordable, or there's some kind of artificial inflation being applied to these stocks.
Whatever the reason for the sector's recent performance, it's going to come to an abrupt halt when health insurance companies start closing their doors or filing for bankruptcy. Proshares offers an ETF (RXD) that goes up in price when the health care sector goes down - I'll be looking to use this ETF when insurers inevitably start feeling the pain.