People look at the numbers and say that you can't cut Social Security or Medicare and therefore, there's no hope of reducing spending all that much.

Baloney. I'd bet there's significant fraud in "mandatory spending" and a decent audit will save us hundreds of billions.

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Still won’t make a difference

Elon has already suggested as much. And the whole process of Medicare “negotiating” healthcare processes is guaranteed to be corrupt. Way too much money involved