The government will have to cut costs just like insurance companies. They'll do it by denying services, by making it difficult to get treatment (longer wait times), by providing second rate drugs, care, machines, facilities. The quality will go down, costs will go up. Those of us who bear the brunt of the costs will pay EVEN MORE. Those who get a free ride as it is will continue to do so, and be joined by more like them. The rich will get the best care $$$ can buy - as always, and only pay a little more for it.
The goverment has been cutting coverage,and raising permiums on Medicare,Medacaid, and VA! Leaving the state's to pick up more of the cost,and the states pass it on to us. So were going to get fucked anyway you look at it!!