One of the really funny tricks on Social Security privatization is how sweetly it destroys Medicare. Medicare, of course, is on red-alert territory financially. Come 2006, premiums will have jumped 34% in two years, a hell of an increase. And the future doesn't look a whole lot better. I'm sorry, I should rephrase: the future is apocalyptic, Medicare is in terrible shape and, with premiums supposed to cover 25% of the program's costs, any jump in spending will drag your grandmother's monthly payments up with it. The only alternative is cutting what the government spends on Medicare services, which means cutting what doctors make and encouraging them to turn away the elderly.