The Fiscal Snapshot makes it unambiguously clear that the current fiscal mess is solely, exclusively, absolutely positively, withoutany doubt the result of spending levels remaining above a stable, 50-year revenue trend of 18% of GDP.
The famous RAND health study from 1972 to 1982 found that when people were asked to pay for more of their health care they tended to use less of it withoutany impact on their physical health, a result that helped birth the HMO movement.