There are several things to keep in mind when discussing this. First of all, Medicare consists of doctors, hospitals, assisted living etc in the open marketplace. It applies rules, oversees, and regulates, but it is in the open competitive free market. Secondly, it's does have policy costs and options available, and it also has an option (advantage plans) for those who want to deal on a more local level. It is not "socialized medicine". Of course neither is the VA socialized since it is closed to those who served, and has certain qualifiers that for some can include income. Retirees and family member of retirees and under a separate system call Tri-Care. The real argument in this country is exactly how much of healthcare do you want the government control over individuals versus business, and just how high are you willing to have your taxes go. Keep in mind, with the exception of Israel, there is no free country whose defense budget comes close to what ours is, either in dollars or per centage.