THE TRUTH:

Actually, the number 'Sicko' cited for per capita Cuban spending on health care - $251, a number widely cited by the BBC and other outlets - comes from the United Nations Human Development Report, helpfully linked on our website. Here it is again: hdr.undp.org...
That UN report does list American health care spending as only $5,700, but it's a few years old. Since then, the U.S. government has updated it's projections for health care spending, to $7,498 in 2007. So we used that number. It's the most recent, and comes right from the Department of Health and Human Services. If the Cuban government gave a figure on 2007 projected health spending, we'd have used it.

THE TRUTH:
Medicare indeed has enough money to cover all seniors until 2019. At that time, it will simply need more funding. That shouldn't be hard to find in a nation spending trillions of dollars to invade other countries.
Medicare is not in trouble because it is socialized medicine. Medicare faces the same economic problem private health plans do - health care inflation is out of control, far outpacing inflation for other goods and services. And in fact, Medicare is much more efficient at dealing with this inflation than is private insurance. According to the Center for Medicare and Medicaid Services (Table 13), per beneficiary costs have risen in nominal dollars by 519.5 percent since 1980. By contrast, the cost per enrollee of private insurance has risen by 676.6 percent over this same period. So Gupta should instead be pointing his finger at the inefficiency of private insurance. (Social Security and Medicare Myths, Lies, and Realities. Institute for America's Future. www.globalaging.org...; "Gupta Says Medicare is Going Bankrupt," Dean Baker, Beat the Press blog. www.prospect.org...)
There is a clear way to make our health economy more efficient. We waste $400 billion dollars per year administering our mess of a private, profit-driven system. The answer is switching to a single-payer, Medicare-style system and taking absurd profits and administrative costs out of the equation. (Steffie Woolhandler, M.D., M.P.H., Terry Campbell, M.H.A., and David U. Himmelstein, M.D., Costs of Health Care Administration, N Engl J Med 2003;349:768-75 )