http://fdlaction.firedoglake.com/2011/04/05/to-reduce-deficit-government-can-destroy-medicare-or-expand-it/There are two very simple, straight forward things you can do with Medicare if you want to make a big reduction in the deficit: you can either destroy Medicare, or vastly expand it.
...Alternately, since Medicare is dramatically more cost effective than private health insurance, government could significantly reduce the deficit by expanding this proven program. Just allowing people in the new health care reform exchanges to buy into a Medicare-run insurance plan would save over a $100 billion. In addition, given that health insurance is such a big expense for businesses, allowing the private sector to buy Medicare instead of private insurance would result in higher wages, more employees hired, and/or larger profits. All of which would generate substantial tax revenue for the government.
If the Washington took expanding Medicare one step further and turned it into a real, working, single-payer system, like that available in much of the first world, it could reduce costs so much it would effectively eliminate our entire deficit problem.
...If it ever came to a battle between plans to kill or expand Medicare, it would be a political bloodbath. On one side, Republican saying the best way to reduce the deficit is to destroy the popular Medicare program, and, on the other side, Democrats making the unequivocal counter argument that the best way to reduce the deficit is to let more people have access to Medicare.
Sadly after watching how terribly Democrats messed up health care reform and the public option debate, I doubt America will get this dream showdown–despite Ryan offering it to Democrats on a silver platter..."