Yeah, just total WTF. Plus medicare has actually been doing better than normal healthcare (its costs are increasing slower than inflation, meaning its actually going down, while Republicans are openly trying to make the normal health care market blow up in cost so much that they can finally destroy the ACA just because Obama, they don't care if people literally die over their actions, in fact that seems to be how they want health care to operate - who needs death panels when you can just let them die with no concern?).
I'm not sure if he even realizes it, but he's arguing that average people, who are paying for medicare, should not get to reap the benefits of that type of care (even though adding them would kick in huge economies of scale and a lot of other benefits, plus they'd have extra money to spend which would help the economy). Nah, fuck them, they should have to go deal with his bullshit free market solution. You know, the one that pretty much all economic analysis has shown to be terrible and not working properly such that even the assholes that think medicare for all/single payer would trigger the apocalypse (and intentionally set out to portray it as such) have to admit that it would be a better alternative. Even dumber, he'd love for nothing more than to force the medicare people into that situation (well actually he straight up is advocating that they should just die instead of costing us any more money...because you know, its not just enough to be an idiot, he also has to be a fucking psychopath), because that way he could still believe that one day he could be Martin Shkreli.
Just when I think he couldn't be more of a despicable person, he proves me wrong. That's why I call him out constantly for his blatantly bullshit fake attempts at pretending like he is interested in honest debate. I'm not sure if he just wants everyone to live life as miserably as him, or if he's just so devoid of care for anyone (I'd say but himself, but this shows he doesn't even care about that as he'd benefit, so he's even willing to spite himself to fulfill his twisted beliefs).