"Mr. Bush claimed to be against excessive government expenditure. So what did he do to rein in the cost of Medicare, the biggest single item driving federal spending? Nothing. In fact, the 2003 Medicare Modernization Act drove costs up both by preventing bargaining over drug prices and by locking in subsidies to insurance companies"
And the reason it is so hard to understand: because politicians are trying to craft a plan that preserves the problem while fixing it. And it's been that way since Harry Truman.
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