With the new health care there will be much to criticize and critique as our government continues to operate in a world of unintended consequences.  There are some revolutionary parts of this monster bill which could bear some fruit, but can we all agree that the parts of the legislation that pay more for certain medical procedures have a far better chance of being implemented then the portions of the bill that result in reduced payments?

Many tough decisions have to be made in order for this legislation not drag us even further into the financial black hole.  How many politicians, even with political capital, have ever made really tough decisions? 

As this program is phased in over the next four years, we owe it to ourselves and to future generations to make sure that the tough decisions are made.   This is a time for real leaders, not just a bunch of special interest lawyers willing to kick the financial can further down the road in order to get another couple years of the cocktail circuit in Washington.