There's perhaps no better example of this than Medicare. The Medicare prescription-drug bill, passed in late 2003 after a bitter partisan struggle, represented the program's biggest expansion since it began more than 40 years ago. But with its enormous expense and inadequate coverage, it has proved to be a disaster. Twenty percent of enrollees have higher drug costs than they did before signing up. In the next three months, an estimated three and a half to seven million people will hit the notorious "donut hole," in which coverage stops until their drug spending reaches $5,100. "We ended up with a program that undermines Medicare and costs way too much for a program with major gaps in coverage," said Roger Hickey, co-director of the Campaign for America's Future Campaign for America's Future (CAF) is an American political organization founded by a group of progressive leaders. Its main issues of concern include the environment, energy independence, health care reform, Social Security, education, and congressional accountability. and a founder of Americans United, a coalition of consumer and labor groups demanding that Congress fix the plan.