Indeed, while it is easy for the Democrats to offer more coverage to more people, measures to curtail spending are more politically hazardous: after all, it means cutting the fat out of the system by legislative mandate. And as we already know, this is a terrific opportunity for liposuction! From overused procedures to overpriced products to overpaid executives -- the price tag for this fat could easily pay for millions of Americans' coverage. But of course, it would cut into the incomes and the profits of many of the wealthy stakeholders, who would not accept this without a loud and protracted battle.
These are tough decisions, and lack of political chutzpah on the part of the Democrats to deal with the fat now may jeopardize our chances at meaningful healthcare reform. And if not now, when? Start calling and writing today!