You do not seem to understand, seniors do not care about the rationalization...If you are saying that seniors believe that Medicare should respond to any need they declare at whatever cost, then the system is unaffordable. Perhaps you will remember a previous suggestion that healthcare can consume the entire GDP if allowed? Insurers avoid this with exclusions, caps, recissions and risk-shunting. Medicare needs a way to do it too. How do you suppose Medicare should do it?
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us."
-- Shakespeare: Coriolanus, Act 1, scene 1
