If you know the house of cards will fail because it costs too much, why are you so concerned about the ACA and congressional efforts to move medicare to outcome based reimbursement, which will save a lot of money, even Boehner calls it the first entitlement reform in decades? Why are you opposed to this effort to cut costs, when it is conservative pablum that we need to reign in govt. spending. Your position does not make sense. Your position is very liberal.