Solving The Medicare Crisis: Three Simple Ways To Save Money The most significant reason for our out-of-control deficit spending is health care. And the biggest federal health-care program is Medicare. That's why almost everybody—on the right and the left— agrees that Medicare must be reformed. A good place to start is recognizing that what Medicare is trying to do is impossible. Medicare has a list of some 7,500 separate tasks it pays physicians to perform. For each task there is a price that varies according to location and other factors. Of . . .