The Medicare program had budget problems when some Medicare beneficiaries requested more than one doctor. Medicare was short of funding through two years of increased deficits. But many of the problems have since been remedied. Now, the program is making progress. The program is paying for its own health coverage, with the provision of subsidized Medicare coverage of preventive care and health care services for families of beneficiaries enrolled in Medicaid. At the same time, the program hopes to reduce costs for the uninsured and eliminate the burden on high-income Medicare beneficiaries. "The Affordable Care Act is designed to bring about one of the most significant health reform-related decisions of our time, by ensuring that people with disabilities receive health care that is affordable," said Sen. Bob Corker (R-Tenn.). "The American public deserves better. It should not suffer." The federal government must also reduce the number of uninsured beneficiaries who are eligible (for example, by allowing Medicaid recipients to obtain an insurance purchase as a result of making claims on their own behalf). If these additional steps are enacted, we may see Medicare beneficiaries receiving higher benefits than non-Medicaid beneficiaries, and perhaps also less benefit from certain drugs. 3. The Department of Health and Human Services can and should consider requiring a person who becomes ill to have a health care appointment, but does not have access to that person after a hospital admission. Hospitals also must allow beneficiaries more control over how long patients keep receiving care, but that is an ongoing debate. In addition, a good deal of public health effort will involve establishing public awareness and better monitoring of the use of drugs, since the drugs do not interfere with the quality of care. As for preventing unnecessary deaths, there is little precedent for states to use this additional policy. New York and a number of other states were able to pass laws with a lower penalty rate than most states. But none has followed in the way of additional penalties, which are not intended to help all drug users as much as they can prevent.