The expansion of Medicare was to address the millions of working poor who could not afford private insurance and did not get it from their place of work.

Americans often pay thousands of dollars a month for private insurance for a family with very large deductibles. 

I don't call these folks scammers. They are just trying to get by.

No question US Health Care is broken. It was broken before Obama Care and repealing it and going back is not a step forward.

PBS had a good piece on why US health care is the highest cost in the world but has some of the poorest outcomes (longevity, access, prevention, etc).

Canada fairs low in the pack (but much higher than the US) because we don't have prescription drugs or dental care included.

Most systems considered better off are not-for-profit but some are for-profit or hybrid with tight regulation, proving that an OCare approach can work if incremental improvements are made.