In light of the current talk of cuts to Medicare and Medicaid, I am instantly taken back to the run up to the passing of the healthcare "reform" bill. It started with Obama himself talking about plain old single payer. Lots of people like to deny that he ever spoke of this, but most us know, really, that just isn't the truth.

From there, we went to that wonderful, ill defined term, the "public option." That was the plan that was so vague that we were all free to imagine it smelling like roses. We still don't really know what it was, specifically. Yes, there are lots of places where it is purported to be defined, but, again, we all know it really was pretty amorphous.

So now we're on to Medicare and Medicaid.

There will be "negotiations" with Congress.

I have no confidence that Obama has peoples' back on this.

Groups of you will call this hand wringing. I call it a realistic assumption of one possible outcome.