Is it a $47000 knee replacement on a 75 year old? Is it a $75000 heart bypass on an 80 year old? Is it a $100,000 lung resection on a lifetime smoker? Or is it the ability for a family to take a child in who broke his finger or has strep throat to an ER and get treatment for free? Is it breast cancer surgery on a 35 year old mother of 3? Is it paying for AIDS treatment on someone stupid enough to have contracted AIDS in the last 10 years? Is it paying for brain surgery for a foolish helmetless motorcycle rider who dumped his Harley? Given that we cannot pay for everything, design a plan that covers what benefits society as a whole the best. Waiting periods for surgery or treatment? What procedures should be excluded? Included? The fact is Medicare is virtually bankrupt and is a certain collapse in 10-15 years without major tax increases on EVERYONE or severe treatment restrictions.