How about we just vote for single payer? Simple. The truly broken end up homeless in the end.. unless by magic you find section 8. And then there is the paperwork, the miles and miles and miles of paperwork. And then, soon, there will be the work means test. No medical if you don't work. Got cancer? Too bad, work. The only positive is that it equalizes medicaid with the working stiff... which might bring about single payer faster.