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If Congress is serious about addressing gang crime, it shouldconsider policies that build upon, rather than undermine,federalism.

With Medicare facing a bleak fiscal future, and because the program is a major factor in the enormous federal deficit and long-term debt, there needs to be structural reform. The way forward is to (1) require the program to operate under a real, long-term budget based on “premium support”; (2) add catastrophic protection; (3) convert fee-for-service Medicare into a premium-based program; and (4) systematically link premiums to income.

HL548:  Lessons on Reforming Health Care at the State Level:Massachusetts, Minnesota, and Washington State

The drug legislation now in a Capitol Hill committee would create a universal drug entitlement for all seniors in Medicare. Sounds great, but there's one little problem: 78 percent of seniors already have drug coverage, mostly through former employers.

When one federal lawmaker learned in January that the Medicare billpassed by Congress last year would cost $134 billion more thanexpected, he said the law was "a work in progress."