10 year deficit estimate

us up to $9 Trillion, from $7.1 Trillion. For health reform, some will say this means we can't afford it. For others, they will say what Medicare and Medicaid will do to deficits sans any change mean we can't afford NOT to do something about it. Put me in the second category. But, there has got to be some real proposals to slow the rate of spending increases in health care. It is really time for the grown ups to talk turkey. Are there any? Anywhere?