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Bush, intensely seeking reelection in 2004, needed more domestic victories to balance off his foreign policy, so he played his ace - Medicare prescription drug benefits - to attract senior citizens known to be swing voters. The result, however, seems gloomy, particularly viewed in terms of the federal budget. The reason is that Medicare reform, expanding entitlement programs to seniors, creates such a heavy and persistent burden on the national finances that the U. S. Government may be unable to take new costly measures to address major issues such as health care reform and tax reform in the future. We may be able to recognize that one outstanding feature of Bush\u0027s domestic policies, observable both in the tax reduction policies since 2001 and Medicare reform, is to legislate bills with conditions that can be phased in for several years and then revised at any later time for the president\u0027s convenience. 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