You should read these papers:
http://economix.blogs.nytimes.com/2013/01/04/the-complexities-of-comparing-medicare-choices/
http://healthaffairs.org/blog/2011/08/09/is-medicare-more-efficient-than-private-insurance/
http://krugman.blogs.nytimes.com/2011/06/12/its-the-health-care-costs-stupid/
http://theincidentaleconomist.com/wordpress/delaying-medicare-eligibility-is-bad-for-health/
Hum, it seems to me that you should first have the choice...
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