Workfare? If people don't want to work, they are not going to work. They will come up with more excuses than you can shake a stick at. You see it everyday at any factory. Everyone knows someone who's milked the system. They're people that who have perfected the art of malingering. They won't work construction, agriculture, fast food, retail, or any other low wage job. We already have people picking up trash and cutting the grass. They are called municipals workers making as much money as you are. The premise of universal health care is that health care is a right. Now you can't take it away from them just because they are lazy or have no marketable skills. Don't forget drug and alcohol abuse are diseases too.