Medicare and Medicaid are poorly managed healthcare programs.  I'm not sure where this yahoo is getting their info.  Do you really want a government bureaucrat telling you which doctor you can and cannot see and which elective procedures you can and can not get?  California's proposed single payer system will cost 400 billion dollars for 38 million people.  The best thing we can do i scrap any and all government health care laws, require health insurances be able to be sold across state lines and let competition take care of the pricing.