I've never denied such wasn't part of the greater plan as it were.
Look, the only way to be rid of the biggest drain to this nation's budget and, thus, Medicare, is to start at the bottom rather than the top. Remake a healthier nation starting with the youth. I'm not saying create a nation of zealots, ie., Hitler Youth as I'm sure that was the first thing that came to mind for some folks reading this. But what I am saying is you can't cut off Medicare because far too many people rely on it, and you can't cut off Medicaid because like it or not, it's a cash-cow for the states. But you can fine tune the health care system by starting with prevention and fitness, and insuring people while they're young and teaching them to make healthier choices in diet and exercise, etc.
If you take better care of your body while you're young you're least likely to need a social service like Medicare when you get old. And you're least likely to need to be on tons of prescription drugs when you get old. That's the long-term affect of revamping the health care system I see. Does current health care reform legistlation go far enough in that regard? Only time will tell.