The AHA says there are 1045 state and local gov't hospitals in the U.S.. I'm not in a position to look at everything a Congressman is, but I already pointed out there's many billions in waste and fraud that could be corrected. As to whether certain programs are cut, if the money isn't there how do you propose we fund those programs? I'd start by requiring able bodied people to work. I don't have a problem with assistance to the lowest paid, but they have to work to get it. If servicing the debt starts to overwhelm the budget, across the board cuts will have to happen. People will have to settle for less. We were a long way from this when Obama took office, but there's really no way to justify this kind of spending. We did have a very bad recession, but that's over and it didn't require doubling the debt to get out of it. Past recessions required tightening belts, not profligate spending. What it comes down to is different visions of how we conduct our lives. Either gov't gets out of the way as much as possible and lets people succeed or fail on their own merits, or gov't carries us throughout our lives so there isn't a need to risk for better, but no worries about starving either. The second one let's others decide our lives for us, and as demonstrated by Washington, has a voracious appetite for our money. Frankly I want off this merry-go-round because there will always be millions like you who believe in big gov't. My wife and I will be living overseas and, since we'll be out of the country 335+ days a year we won't have to pay for Obamacare.