500 Pound Gorilla

Let me repeat the last couple of sentences from Ross Douthet's column (excerpted below), because I think they are the 500 pound gorilla in the room in this health care debate:

In this future, somebody will need to stand for the principle that Medicare
can’t pay every bill and bless every procedure. Somebody will need to defend the
younger generation’s promise (and its pocketbooks). Somebody will need to say
“no” to retirees.