[classicman]

I have no alternatives. Thats primarily why I asked the questions.
followup - Would it be easier or more efficient to expand medicare/caid qualifications to include more of the uninsured instead of creating another plan? I wonder if this program, whatever it will be, will have all independent administration and employees. Seems like it would be a duplication of responsibilities. By expanding one of the existing plans it would seem to be more efficient and less costly.

Just a though - - - or replace one/both with this new plan.

Isn't there a way to change how the Gov't contracts for care and/or prescriptions. IIRC they were/are restricted in the negotiating process in some way that seemed insane to me at the time.