Frankly, sir, your post is nothing more than obfuscation. Medicare is just as grievous an unconstitutional affront as Social Security or Obamacare. To point to the fact that its imposition has become part of the fabric, like the seemingly inoperable tumour that it is, and call it good points out the simple fact that you apparently are of the mind that socialism that benefits you is good socialism. I do not hold with that mindset because I know it is immoral to take from one person to give to another without the willing consent of the former.
As far as your comments regarding competition are concerned, I'm all for it. I had to leave America to receive cancer treatment unavailable here and I paid for it myself. Were it not for the unconstitutional 4th branch of government, now on steroids because of nationalized healthcare, that is manifest in the alphabet soup of various agencies, I could have had the treatment at home for probably 1/6 the cost with no air fare or hotel bills to boot.
Oh, one more thing...no one is entitled to health care just as no one is entitled to the fruits of someone else's labor unless that laborer willingly gifts it. Theft is the proper label.
Sometimes the law defends plunder and participates in it. Thus the beneficiaries are spared the shame and danger that their acts would otherwise involve... But how is this legal plunder to be identified? Quite simply. See if the law takes from some persons what belongs to them and gives it to the other persons to whom it doesn't belong. See if the law benefits one citizen at the expense of another by doing what the citizen himself cannot do without committing a crime. Then abolish that law without delay ... No legal plunder; this is the principle of justice, peace, order, stability, harmony and logic. ~ Frederic Bastiat