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Opinion piece in the cincinnati inquirer where he says, quote: poot path do you agree? yeah. i think the speaker is right, because the fundamental roots of our big debt problems, especially going forward, are the health entitlement programs, the medicares, medicaid and the new affordable care act. it is estimated to cost about a trillion dollars over the first ten years, and i think analysts who have looked at that estimate understand it has a risk of being much larger than that. my own work suggests the costs have already gone up by about 25%, they could easily double over the next ten years. and if you re going to undertake a real fix to the debt, you have to take on spending programs like that. patti ann: all right. so the washington post among many other entities says that there is no way the democrat-controlled senate is going to vote for full repeal, but the post says, quote, there ....