You're asking me about blue Ray and I am still in the 8-track age. Yes I believe that Medicare is unconstitutional as an improper extension of federal power beyond that provided for in the enumerated powers. I think it is interesting that the court is not necessarily likely to see Obama care as a bridge too far but as a logical extension of Medicare, which they regard, of course, as constitutional. It is an object lesson in how the Constitution has come step-by-step to mean something 180° at variance with its original intent.
I believe that Medicare has had an adverse effect on the cost of health care as borne by private insurers because the system pushes the costs off onto the private sector. Both Social Security and Medicare are Ponzi schemes in the sense that there is no pay as you go and, worse, there were no funds set aside as we went.
I think it is as unconstitutional as Medicare and I'm saving my 8 tracks.