Medicare as Guinea Pig?

When it comes to departments/areas which are dependent on government spending (and have been shown time and again to be quite inefficient) Medicare may top the list. The Dynamist asks the following excellent question:

Medicare is a huge, single-payer, government-run program. It ought to provide the perfect environment for experimentation. If more-efficient government management can slash health-care costs by addressing all these problems, why not start with Medicare? Let’s see what “better management” looks like applied to Medicare before we roll it out to the rest of the country.

Of course, one could not be assured of the “correct” results by implementing such an approach, so it probably will not happen. Right, Secretary Sebelius?

HT: Instapundit