We can save medicare, medicaid and social security with one stroke. Simply by saying that health care will only be extended to legal American Citizens and that all American citizens will pay for what they use. What is wrong with paying for an emergency room visit? This is how I see it, if you go to the emergency room you will recieve a bill as usuall, but instead of not having to pay it, the government should insure you do. Watch what happens if you owe the IRS money, they will garnish your check, sieze your bank account or what ever it takes. Now Im not saying we should turn illeagals away from the emergency room, but I am saying they should be reported and deported so that we wont have to pay for that individuals health care any more. We simply cant afford to keep flipping the bill for any and all who simply abuse the system. For Americans health care should be like education, in the form of a government loan which must be payed back!!!!!! Its time for Americans to realize that nothing is free no matter how good it sounds!