And not even that long ago. Matthew Yglesias reminds us that Medicare Part D (adding the prescription drug benefit) passed the Senate 54-44 only six years ago, adding hundreds of billions of dollars to the 10 year deficit window and explicitly forbidding the easiest way to cut costs. And yet Chuck Grassley and Max Baucus had few problems voting for it at the time.

It’s worth noting that Roy Blunt also voted for Medicare Part D and yet now opposes HR 3200, the House version of the health care reform bill, which is deficit neutral.

It’s also worth noting that Medicare Part D did not have 60 votes, yet still managed to pass the Senate.