The biggest source of debt for the US Treasury is Social Security followed by Medicare, Medicaid & the DoD in that order. Add state spending & education tops the DoD, combining Medicare & Medicaid makes that more than Social Security. Medical spending is included in the DoD budget as well, so is some education spending & pensions. Medical care IS already the largest expense for the federal government & has been for years. Something has to be done, something has to be done to all of these budget items, we have to trim $1Trillion from the budget. That's a very large T with a bunch of porky filled zeros & we have to cut it because it will never be easier than to day, it only gets more necessary & the cuts more "savage" to borrow a prhase from those who will argue they cannot be cut, streamlined or altered in anyway that doesn't merely make them more expensive. I am 48, I should not collect before 75 without a disability. If I were to make more than $100k in my retirement from my wise investments & other pensions, I sould not collect in any year I make that much as a retiree. I should get to write the value I am not getting off on any taxes I might owe, currently we can assume that'd be about $36k. Just that little change that hurts no one, it just keeps money in the pot that would be returned in taxes anyway. The government lets 3 accountants & 2 bureaucrats go, while running more efficiently & saving a billion. Obviously I'm guessing at the numbers because I don't have the GAO & the CBO at my disposal to run the numbers back & forth.