I have learned as an executive of Medicare.

Now imagine having Medicare pay for all of the drugs used by Medicare beneficiaries, if we just added a new instruction drug public presentation to the traditional Medicare announcement and then let Medicare decide what to pay for Celebrex and Vioxx and Lipitor, and which drugs go on the Medicare drug formulary and which do not. We would have the CMS organisation wrestle with questions such as: "Are we expiry to fixed costs Prilosec and Nexium or only the former, and if both, how much more do we pay for Nexium than for Prilosec?" Those decisions would have to be made in an unbelievably politicized standard pressure. I uncertainness even many Democrats would want to go down that itinerary.
The one sorry warning I have learned as an executive of Medicare is that we cannot ever seem to get the commerce for wellness care parcel, because someone always screams and yells that Medicare pays either too much or too little for constituent services. Therefore, I called Medicare a "big dumb Mary Leontyne Price skilled workman," which, you must admit, is true.