I’m all for abandoning Medicare and medicaid. I’ll probably be receiving SS in three years (I’ll be 66 then) and it infuriates me that I am REQUIRED to be on medicare. I have NO health insurance now and don’t need it. The Lord provides.
SS is another separate issue for another thread.
Medicare/Medicaid will have be rolled into a public system.
That public system will have to live within a fixed budget. That will mean rationing, lines, and limits on the “free” stuff you can get. In the UK they decided to exclude people from all but trivial care on the basis of weight and smoking status. So, for instance, if you are fat, and want a hip replacement or knee replacement you won’t be getting it on Medicare.