The budget President Obama released this week demonstrates the administration’s detachment from our current fiscal situation. As a physician, I’m particularly concerned about the president’s refusal to offer a plan to reform Medicare so it will be here for future generations. The budget is a tremendous opportunity to create policy, yet the president’s budget of more spending, taxing, and debt won’t prevent Medicare from going bankrupt. If that happens, people will inevitably be denied access to care. And instead of increasing freedom and choice in the Medicare market, this budget focuses on increasing federal control --- a tactic that continually fails.