As any honest observer of the dire fiscal nature of U.S. budgets would conclude, the driving section of deficit expenditures are entitlements. The two areas, based upon predictable demographics, that scream out for rational and extensive surgery are Social Security and Medicare. The Obama administration has a long record of gutting Medicare as part of the Obama care malady that is transforming into a national plague as the detail regulations unfold. For a summary of reporting on the subject, review the media accounts on the Kaiser Health News. One of such analysis, found in the New York Times item, Obama Budget to Include Cuts to Programs in Hopes of Deal, identifies the smoke and mirrors modifications, designed to push the Medicare medical reimbursement into insolvency.