Big Cuts or Flummery?

“We’ll cut hundreds of billions of dollars in waste and inefficiency in federal health programs like Medicare and Medicaid and in unwarranted subsidies to insurance companies that do nothing to improve care and everything to improve their profits.” President Obama wrote in the NYTimes.

Cool.

Um, wait a minute, Mr. President. Aren’t Medicare and Medicaid already government programs? Why do we need a brand new 1,000 page bill to “cut hundreds of billions of dollars in waste and inefficiency” from the programs you are already the boss of?

Why can’t we just cut hundreds of billions of dollars in waste and inefficiency out of those right now?