IMO, there is nothing wrong with Medicare, as long as basic care is enhanced by (very low cost) supplemental medical and Rx policies.  It is certainly not "bad government insurance."  The US would be smart, again IMO, to provide a single-payer health insurance, such as many, many other countries have.  What the House attempted and what the Senate is likely doing in secret is unconscionable when simpler solutions are right beneath their collective noses.  The gutting of Medicaid over ten years is one of the most immoral acts this country has been involved with since Vietnam.  I hope the RCC bishops actually do stand up for at least that vital program.  So much actual care depends on it alone.