Health Care Reform as Medicare Part D

Surveying the current state of health care reform, I'd say it resembles nothing more than a version of 'Medicare Part D'. I mean, the outcome is bound to do a lot of good, no doubt about that, but it's going to be at a terrific cost because the original structure of the thing, as inefficient and cumbersome as it is, is being left largely intact.

Issue: 
Location: