Sucking WHAT! money out of Medicare/Medicaid? That particular program has been a gigantic open, sucking, chest wound in the Nation's treasury for years now, and is teetering on the edge of complete bankruptsy and collapse as a program within a couple of years.
I love how these assholes try to prove to the world that they haven't spent our country into bankruptsy by spending even MORE money the country doesn't have. 
Indeed - Sucking money out of a vacuum - I hope they have a portable black hole generator available, because that is the only way Medicare/Medicaid is giving back any money. Its going to take the force of several collapsed stars to succeed.
This is my position on Obamacare - which I know they will never, ever follow through on.
If Obamacare is going to succeed where Medicare has failed, why don't you use fix Medicare first ? Medicare has an existing structure in place, and if you can make the program lean and efficient, then I, and probably many others would be willing to listen to what you have to say. Otherwise, making a bigger, more expensive Medicare is doomed to fail. Any rational person can see that.