The $400 billion, 10 year prescription drug proposal that is on the table right now, will only increase well beyond its original parameters. It is the biggest expansion of government since medicare itself became reality in 1965.
The federal government should take care of the elderly poor, but it shouldn't be creating another huge entitlment program for every senior citizen that is alive today.
The issue of limiting federal spending will have to be addressed very soon, or else in the near future medicare and social security will make up 90% of the entire federal budget. That's totally unrealistic.
A good start would be to tackle the excessive waste, fraud and abuse that exists in the federal bureaucracy today. At the same time, there should be real tax reform instituted, that lifts the excessive tax burden on American workers and allows them to spend their money, as they see fit.