For now, Medicare is not part of the national conversation on health care. While campaigning, Donald Trump promised not to touch Medicare, and, in his first budget, he basically kept that commitment to voters. In addition, Congress and the new administration are consumed with rolling back key elements of the Affordable Care Act (ACA) and replacing them with different provisions. Medicare does not feature prominently in that debate.
So, for now, reforming and improving Medicare is not on the agenda.