The Great American Medicine Show: it's on television, ladled into magazines, paraded across the WEB, and suffuses the newspapers (such as they are). And the players dance about from political left to right: trumpeting everything from single-payer, to public tiered, to privately (insurance companies) managed, to indeed elimination of current Medicare..
And there's the Congress and the President, publicly pointing across the stage at each other, accusing the other of too much or too little, guestimating costs, but really keying into who's going to pay for it. Meanwhile the audience (read: citizens) variously asign blame for inaction to one branch or the other. A small minority insightfully fingers the greed-meisters while coming close to a consensus that the President will need to play a leading role, yet often backing off to aver that he can do nothing without cooperation from Congress.
The charade endures unendurably: Should the world's richest nation (inequitable as the income distribution may be) which has the 37th "best" medical system for its citizens, at twice the per capita cost of the average of the 36 better systems, with 50 million citizens without any medical insurance -- finally move to a national medical program?
Let's set this stage and the roles quite clearly: the President of the United States is the most powerful person in the world. He can do just about anything he wants to do, in any way he so desires.
If he wants to give a trillion bucks to the banksters, Congress will get the assignment to approve, and they will comply - indeed, they HAVE complied, regardless of 90 plus percent public disapproval. (We might well ask if the rewarded interests were in fact "too big to fail," or were their masters too powerful to deny?)