If it were up to you, how would you reform Medicare and Medicaid to be more responsive to the long term health care needs of the Baby Boomer Generation?

If it were up to you, how would you reform Medicare and Medicaid to be more responsive to the long term health care needs of the Baby Boomer Generation?
Will the Affordable Health Care Act be able to continue to provide a system that can accommodate the needs of aging Americans? Will it continue to support the needs of all Americans? It has continued to survive despite multiple political attempts to discredit and dismantle it. Americans indicate health care as their number one concern. Support your position, remembering to maintain an academic focus on the issues.