Medicare, Social Security, Medicaid: if you care about their long-term viability, you will accept that reforming entitlements isn’t an option.

Myth: We may have a problem, but there’s plenty of time to fix it.

Fact: All major entitlement programs are projected to be insolvent in 20 years. The trust fund for Social Security Disability Insurance will be exhausted in 3 years. The trust fund for Medicare Part A, which pays for hospital services, will go bankrupt in 13 years. Social Security will be unable to pay full benefits beginning in 2033.

It is well past time to act. Yet,, those who propose acting are rhetorically bludgeoned as having no heart. In reality, reformers of entitlements care enough about the vulnerable that they’re willing to accept the verbal abuse that comes with being a leader.