Nobody talks about the elephant in the room. That would be the COST for medical care. The cost, that is how much is paid (regardless of whether insurance, government, or patient are the payers) for hospital care, doctors care, clinical care, pharmecuticals, whatever. Multifaceted and complex, why does health care costs so damned much? Until that is addressed, all of the brouhaha about Obamacare, insurance, Medicaid and single payer is just politics.