There is one big reason why a Medicare buy-in is a good idea. As it stands now, Medicare only covers the elderly and disabled. They are the most expensive to insure. As we all know, Medicare costs are expected to rise substantially in the future. By allowing younger people like me to buy in to Medicare, who don't go to the doctor very often, you can use the premiums to shore up Medicare. One other thing that would help is tort reform. We also need to make sure that Medicare pays enough that doctors and hospitals can make a profit because that is an issue as it stands. There are also things that can be done to reduce drug costs such as leaving the patent period at five years and allowing drug re-importation and the government to negotiate with drug companies.