Medicare and medicaid are perfect examples of half socialist and half market programs with the government pulling the strings through regulations and caps. Then they add more regulations on top of more regulations causing products and services to be less efficient, less innovative, less available and more expensive in the long run through all the bureaucratic hurdles.
You talk about Medicare being great. Well my doctor won't take medicare patients. The reimbursement for a level 2 office visit paid to the doctor is about $40.
Years ago, when working in cost accounting, we figured out it cost the company approximately $50 to process and administer the paperwork just for the invoicing. Not including all the other departments and hands required to fill orders.
I've heard doctors say that they don't make any money on medicare patients and have to make it up in other areas, which practically forces health care providers to be less than honest in oder to stay in business It's no surprise to me why insurance and medical costs are so high. The more government regulations and bureacatic red tape you throw in to gum up the works, the more it's going to cost everyone in the long run. And who gets called the bad guy and who's butt is on the line for bad government? The doctors and the free market.