Other than supplemental plans, I do not sell health insurance anymore. However, I do remember people were decrying the advent of medicare saying ti would put health insurance agents out of business.. Then, the leveling of commissions and the standardized plans were supposed to be the death of that market.. I suspect companies and agents will find a a way not only to adapt but to prosper with PPACA. When it comes to matters involving the wallet both the companies and the agents can be very tenacious.