After being part of the medical system for forty years and warning others of the foolishness of this direction, I am getting perverse pleasure in the shock of my liberal friends as they see costs go up and discover gutting Medicare is the only way to (incompletely) fund this monstrosity. Wait until rationing and long waits really kick in. Remember, Congress and the Executive branch will never have to be part of this. Politicians will further become the American aristocracy. Pelosi, the Kennedy clan, Gore and many others are hereditary political "aristocrats", becoming rich from inside political-industrial" contacts.