Revenues down, entitlements up - Reason: "Another trillion dollars in debt (and we've still got four months to go.)" In the fiscal year, that is, borrowing money and sticking the grandkids with the bill.

Here's part of the problem, from American Thinker: "A Nation of Government Dependents" found via Maggie's Farm. This is a comment on the article:

I am an ER doc in a large suburban hospital. Over my 20 years of practice, I have watched the welfare roles grow to twice what they were when I started. More troubling is how attitudes of the dependent have changed. Where once people were thankful for short-term help, they now seek to find every possible penny they can find, and now services are demanded: thank-yous are few and far between. It's so bad now, for example, that I recently had a Medicaid patient come in at 0200 by ambulance- for a pregnancy test...when I asked her why, she told me she didn't want to waste her gas, and she knew the ambulance and the ER couldn't refuse her. It's getting to be almost too much for me sometimes. I've talked to Congressmen and Senators about the abuse, and they are always "woking on it". Meanwhile, we have a patient who has been to the ER 1300 times since 2003 !! When I call the Medicaid office, they tell me there's nothing they can do. I'm convinced that the system is going to have to crash, and I'm really frightened about the people that believe it's their right to have others take care of their needs without a hint of personal resposibility.

Don't worry, Obamacare will cut back expensive ER visits just like they did in Massachusetts.