Since Medicare and Medicaid are the largest part of our economic problem, why don't we make at least a perfunctory effort at fixing our medical delivery system instead of just talking about cutting it. Fix it then we won't have to cut it. The trouble with Obamacare is that there are no fixes: just more of the same insurance-driven care. Get the doctors on the right side: we need tort reform. It would fix more than the (mostly lawyers) congress will admit.