Matt Yglesias drools over the possibility of getting the entire country under the government's healthcare thumb. Medicare is a particularly revealing program idea in this respect. At a deep level, the left sees all of us as the equivalent of senior citizens, dependent on the benevolence of government for our needs and wants. Of course, they will provide our needs as they see fit - they're good people, you know. And so much smarter than the rest of us. There will be none of that wasteful drug spending we now have. How dare Americans spend their own money on treatments they actually want? It's inefficient! This remains the key template for liberals: citizens as permanent supplicants. Those who do manage to look after themselves? Don't worry. They'll tax you till you really do need the equivalent of Medicare. And expect you to be grateful for it.