Traditionally Medicare's assurance has been that for the elderly and persons with disabilities that they will not be alone when confronted with the full burden of their health care costs.

Life expectancy in many parts of Africa can be something around the age of thirty five to thirty eight. I mean you're very fortunate if you live to that age. In fact when I went to Uganda for the first time one of the things that occurred to me was that I saw very few elderly people.