I agree, single payer is inevitable.  In the meantime, how do you cull the Medicaid expansion of healthy people jumping onto a system not built for them?  Also, not all 'disabilities' are the same.  There's a huge industry built on diagnosing and treating conditions that are just part of the human condition, not actual disabilities.  I hate how that label gets tossed round because once someone calls another disabled, they become that diagnosis.  These folks here are disabled, but be honest, most people who poured into the Medicaid system in his state the last couple years are not disabled.  They were incented to jump into Medicaid due to subsidies and did so, proving once again that if you subsidize anything you get more of it.