I am sure the sovereign nation of Texas can come up with a way of taking care of the health needs of 3.2 million medicare recipients. It’s just an insurance program. The Texas equivalent will probably make more sense and actually work. A freed Texas would be able to actually make it work without the shackles of FedGov. Does that answer your question?
Like I said, I wish them well.
(btw let me know when they have an elected governor, state house majority leader, state senate majority leader or even a serious governor candidate that’s advocating for it)