Medicare will be a second-tier service. That's nearly inevitable. But nobody will do anything about this until they have to.
And frankly, longevity of Baby Boomers doesn't seem as likely to work out as it did for the WWII and Silent Generations.
I agree wholeheartedly about "mismanaged the finances" but this is the world we live in.
While this is quite true, there are underlying demographic factors to take into account. Namely, insofar as voting means anything at all, Generations X and Y together now outnumber the Baby Boomers among voting, working adults. This means that there is now an active, demographically-driven political conflict between the interest of incumbent creditors and the interest of an increasingly large majority of the voting, working adult public.
This is not a problem so long as it's done once. All SS money ends up strengthening the metric formerly known as M3, so it'll work out just fine.
The problem is the closely-held belief that There Must Be Suffering or we're not being responsible adults. The economy has been liquidity constrained ( outside of bubbles ) since 1980, with the odd 24 or 12 month period off.
http://www.interfluidity.com/v2/3212.html