Why it will be so difficult to cut medical costs

Because if you look at what the big ticket items (premies, organ transplats, cardiovascular disease, and specialty drug therapies) are in medical costs in America, it's hard to imagine we're going to do much to cut the costs.

Maybe we will in the long run. But what democratically elected official is going to vote to not spend money on trying to save premies (for instance) when the "greedy, evil" private system that existed before did? It MIGHT happen, but wow would that take more stones then I've seen out of the 60 senators & 255 Congressmen/women (60% & 59%) Democrats have. Think about it all three branches controlled (to be fair who the hell knows what side Anthony Kennedy will be on) and still not the stones, just when is it going to happen (hopefully, but not likely, never)?

Of course self-preservation, fame, fortune, power matters more then "doing the right thing" even to Democrats. Shocking, I know.