Depends on what you mean by intentional. I'm not sure if the guys that call the shots are Machiavellian enough for such things - given how incompetent they are in everything else, hard to imagine they would be super-competent in long-reaching plots. If they had been able to execute long-running plans of such magnitude with such certainty, they wouldn't screw up so many things so badly as they had.

However, the resulting vector of their efforts and failures may very well point into that direction, and not without their cooperation and help, since once they beat insurance industry into full dependency and make the population rely on subsidized care, the next logical step would be to eliminate the middlemen - there would be no point for them to exist anymore, at least not as independent entities - given that they would have no independence as such and serve no useful function in such setup.