Congress has yet another option: Fix those known, vicious costs of healthcare.  Start with the cost of drugs - the patent system is horribly abused by the drug companies. A meaningless BS "tweak" in a formulary grants a patent extension.  We pay for what is now really a generic.  Full boat.  Allow Medicare to privatize (read put out to bid) the supply of pharmaceuticals.  Address the causes and avenues to obesity in this country, a huge consumer of healthcare dollars.  Allow the import of drugs from Canada.  They have a robust, safe system and many of our "High cost" drugs are actually made there.  This is not rocket science.  Get off the Congressional Keisters and get it done!