I am a registered Republican, and usually vote Republican, but the Republican Congress has been a big disappointment. Their Medicare "reform" is incompetent legislation. It overlooks a major health cost contributor that any reform legislation can and should address: tobacco. Tobacco (cigarettes) cause about $20 billion a year in health care costs. (This does not include additional costs due to premature death, and lost productivity due to illness. The total comes to more than $70 billion.) These are the costs of treating lung cancer, emphysema, and heart disease for which cigarettes are responsible. Wouldn't it be nice to have a few billion of that every year for medical research on Parkinsons, cancer, and other diseases? I don't know how much of this comes out of Medicare, but cigarette smoking often catches up with people in their 50s and 60s. The Republican legislation is incompetent and irresponsible because it does not force the cigarette companies to pay for the damage they have caused, and are continuing to cause- knowingly, willingly, and deliberately. As I see it, the latter makes the tobacco industry no better (morally) than heroin pushers, cocaine dealers, crack house proprietors, and similar vermin who poison people for profit. I am glad to see that some states, like Florida, are suing the tobacco companies for state Medicaid costs. Before Congress takes anyone's home or car, they should make the Federal and State governments take everything the tobacco companies have, and use it to pay for the damage they caused. -Bill (Copy: PA Senators, and Representative)