I think you will see a single payer system for medical care/medicare soon. Such a large percentage of people are covered by tax payers. Federal and state retirees, VA, military retirees, a host of public sector employees, seniors, poor people, even prisoners in jail, etc. The private sector cannot continue to support the system. Obama Care will not stay as is but our for profit medical industry is heading for a crash landing. Soon if we are lucky.