This is a fair criticism. The rats have been successfully demagogueing social security for decades. R’s are now doing the same for medicare.
I don’t like it. But if it’s the only way to prevent socialized medicine from being shoved everyone’s throats, I’ll demagogue the crap out of it. That keeps the damage by the government limited to medicare—hard to fix, but it’s better than having to fix the damage Obama is fixin’ to do to all of health care.
Defending Medicare in its current form further damages the credibility of the Republican Party on entitlement reform only to apply a political band-aid to a spurting jugular. The growing costs of Medicare, Social Security, and other entitlement programs constitute a disease that could ultimately render the Federal government insolvent and thus unable to execute its functions, even those that are legitimate and proper under the Constitution.
The proper solution for Medicare, and one that could be adapted to Social Security, would include ending new enrollments (as well as the corresponding payroll tax); offering partial buyouts (e.g., non-taxable funds to maintain a privately-run HDHP and HSA for a set number of years or a lump sum, non-taxable distribution that is a set percentage of the individual's original tax payments) to those Americans presently enrolled in the system; and treatment of Medicare obligations as general obligations of the Federal government payable from its general funds (i.e., no more of this "trust fund" shell game BS).
Someone has to turn the lights on, so to speak. It will be much easier to put the Federal government on a diet and exercise plan if the electorate actually knows how obese it has become...on the watch of both parties.