Nothing, besides the fact it is hugely expensive, and along with other major entitlements, is incurring huge debt, and ever-growing interest payments
https://www.forbes.com/sites/howardgleckman/2018/06/06/no-medicare-wont-go-broke-in-2026-yes-it-will-cost-a-lot-more-money/#596203cd7eb1
https://www.heritage.org/medicare/commentary/medicare-will-be-insolvent-2026-can-america-fix-it-time
“What reform does Medicare need?”
Medical professionals/hospitals should be paid more.
I’m not one.