Health care is on the mind of many Americans. The Supreme Court is taking up Obamacare. Costs are going up at an alarming pace. The access to quality medical care is eroding. Hospitals are under pressure and closings are rising. Doctors brace for reduced payments for services. No wonder any proposal for altering the trajectory of all these trends gathers interest. Medicare is the gorilla in the federal budget china shop. This primate is hungry for more takings. Survival of the fittest may well come down to the realignment of the entire health care system. Just what can the public expect out of this struggle for wellness?