As a Medicare recipient for the last nine years, I’m appreciative of what it provides. With the current debate about Medicare-for-all I think this topic is worth discussion. If we ignore the rants from the far right that it would be a disaster, cost too much and put private insurance companies out of business and rants from the far left that we don’t need to worry about how to pay for it, let’s as a country explore ways to improve medical coverage. First of all, I pay for Medicare in five ways: 1. I made payroll deductions for the thirty-nine years I worked. This provided me with Part A (hospital insurance) when I turned sixty-five. Without paying into the system, I could have still purchased Part A through monthly payments. 2. I pay a monthly fee for Part B (medical insurance). 3. I pay a monthly fee for supplemental insurance through a private insurance company. 4. I pay a monthly fee for Part D (drug coverage) to a private insurance company, 5. For things not covered, I pay directly when billed by medical providers. No one is giving me anything for free. I think this model is worth exploring for covering younger people. The discussion needs to include how to pay for it.