The US should focus on divising ways in which to pay the medicare and medicaid bills faced by its population  The realities facing the US government are that it has two separate sets of bills to pay. On one hand there are those to central banks and overseas investors. The others are to its own citizens who have been giving the government their tax dollars over the course of a working lifetime on the understanding that they would recoup that money in healthcare and other benefits at a later stage.  The priority has to be domestic expenditure.