I would have voted against the new Medicare entitlement on fiscal grounds alone. It's an insanely expensive new entitlement that we simply cannot afford - and it's dedicated to the most prosperous elderly generation ever. But if you're going to do it, you should at least pull it off half-way competently. But, then, this is the Bush administration, and, once again, it's doing a heckuva job. Jon Cohn explains what went wrong, and how the worst could have been avoided.