&gt;  primarily reducing social security payments (particularly when most of the boomers are drawing on them)<p>Disagree. Removing the payroll cap for social security taxation causes Social Security to become solvent permanently [1].<p>&gt; and cutting medical spending - probably by instituting controls on what the government will pay for in terms of end-of-life care.<p>Sort of agree. The US needs to go single payer, and institute price controls on health services.<p>[1] <a href="http:&#x2F;&#x2F;www.pbs.org&#x2F;newshour&#x2F;making-sense&#x2F;what-impact-would-eliminating&#x2F;" rel="nofollow">http:&#x2F;&#x2F;www.pbs.org&#x2F;newshour&#x2F;making-sense&#x2F;what-impact-would-e...</a>