Pelosi claims, “Unless we pass this legislation, we cannot keep our promises on Medicare.” That is the primary purpose for this legislation. The political fallout of impending Medicare insolvency will be huge unless they figure out a way to keep Medicare in place. The only way to do that is for government to assume complete control. Thus, they’ll promise coverage to everyone, but guarantee access to no one. Their solution to the Medicare crisis is complete control of health dollars, data, and decisions.