Okay, I understand your point. Can you imagine trusting the government to decide what the coverage cost? Really? I would agree with you if everyone else had to pay it back, but the bums who never did anything for themselves, including paying off a home won’t have to do it, will they?
“but the bums who never did anything for themselves”
Bums don’t usually have any assets. Medicaid rules exclude the house you live in and one car from countable assets. IRA’s are also excluded except for distributions, providing that you are taking at least the minimum distribution.