We could see the problems coming. We expressed concern, and it was just pooh-poohed. Now, our worst fears have been realized.

It really is survival of the fittest.

It's an enormous mess ... a real nightmare.

They need to scramble to learn the new bill...and many may find when they go to the pharmacy, they can't go to that one anymore, or their drug might not be on the formulary of the new plan.

These are Medicare's most vulnerable beneficiaries, and some of them are going to die because of this.

They are so anxious to say the program is working, they are turning their backs on the most vulnerable elderly.