On Charlie Pierce's blog (which I heartily commend):
Some people here may view what I'm about to say as a bit contrarian, but believe me Paul Krugman agrees with me. Long-term, the cost of Medicare -- and Medicaid, and health care in general, but let's talk about medicare specifically -- is indeed a big problem, and it would be a good idea to start to get handle on it soon. (Conflating this with Social Security is indeed a scam.) Unfortunately, no politician, including BHO, is talking about the true nature of the problem and the needed solutions. No, we don't have to cut benefits, make beneficiaries pay more out of pocket, or even means test it (which would produce trivial revenues/savings). But we do need to a) pay less for drugs and overpaid medical specialists; b) stop doing unnecessary, useless and even harmless procedures (which is what Republicans call "death panels"), which requires basically changing the way we pay for health care; and c) invest more (not less as we are now discussing) in public health, social welfare and environmental protection programs that promote health, prevent disease, and will more than pay for themselves in avoided medical costs. And we need to do more comparative effectiveness and cost effectiveness research so we can figure out how to do all of the above right. That's the discussion we need to be having, but we aren't going near it.