It seems many politicians are fine with just creating the appearance that the recently passed reform bill will provide enough funds for Medicare benefits down the road. Here is what the Obama administration promises on health care reform regarding Medicare. From here: Frequently Asked Questions about Health Insurance Reform | Health Insurance Reform Reality Check Now, here is what the CBO said after they analyzed the effects of the Patient Protection and Affordable Care Act (PPACA) just before Christmas. This is from their report on the effect of this act on the HI trust fund which is the accounting mechanism through which the government pays for Medicare Part A http://www.cbo.gov/ftpdocs/108xx/doc10868/12-23-Trust_Fund_Accounting.pdf Note the words in bold. Here is the main point from the CBO: So, as long as they shuffle the numbers around and make it appear as though they are going to be able to keep funding Medicare in the future with health reform, thats fine right?