Yes, people should be allowed to opt out of Medicare. The two should not be tied together in a manner that punishes retired workers by taking away what they contributed into throughout their working life. The key should be to make Medicare less onerous and confusing so that it is a real benefit to recipients, not a bureaucratic tangle of regulations and paperwork. Simplify so people want it. Requiring people to have adequate health coverage I agree with for the overall health of the Country but to require it to be Medicare I say NO. And people paid into Social Security but give them the right and freedom to chose their healthcare provider. We do while working so why not.