It's basically playing pretend to imply this is a "Liberal" problem in the US. The Republicans constantly talk about the size of the government, and then create

It's basically playing pretend to imply this is a "Liberal" problem in the US. The Republicans constantly talk about the size of the government, and then create whole new programs like Medicare Part D. And, of course, Republicans often fight cost control measures, seemingly because that would hurt corporations that benefit from the programs.