It looks like Karl Rove was right about this. :-)
Why would this give them hope? The Medicare Part D program is privately administered and the companies compete for business - innovative, trying to keep costs down while increasing services. Hardly comparable to the Obamacare model. The entire Medicare Program should be reformed into the same model and then ultimately privatized under this model - allowing for purchases across state lines to prevent state monopolistic setups (like the current "private" regular health insurance is currently set up) so there is incentive both for lowering costs and at the same time providing better and ever improving services as the companies compete for business. Services would get better, costs would go down, and burdens would be lifted from the taxpayers and get the government phased out of being directly involved in things it cannot do efficiently and never should have been involved in to begin with on such a scale. But then again...that probably makes too much sense for Congress to pass such a thing.