The outrageously expensive Medicare Program is the culmination of many, many years and millions upon millions of dollars spent by the Healthcare Industry to build a Gov't subsidized market for their products and services. It will swamp us all while a relative few will be enormously enriched.
Fact is, business doesn't have the votes. People vote for 'free healthcare', and the Republicans decided they wanted to appeal to those voters.
This is Medicaid not Medicare they are referencing here. Medicaid is for "the poor" while Medicare is for the elderly. The sex offenders are getting Viagra under aid to "the poor". Whether one likes government programs or not, this is wholly different from Grandma and Grandpa getting help with the cost of prescription drugs for a host of legitimate ailments.