That’s what a friend of mine calls the pay-offs to two big constituencies on health care, seniors and the AMA. Seniors are getting a $250 check. Both the Wall Street Journal and John Dickerson of Slate point out that the Social Security pay-out makes a mockery of all the supposed entitlement cuts that are going to happen in the future to fund Obamacare. Meanwhile, Senate Democrats want to give doctors a $250 billion goodie in the form of a long-term fix in the so-called SGR formula that’s supposed to ratchet doctor payments downward but never happens. Including this fix in Obamacare would make it even harder to get the numbers to add up, so Harry Reid wants to do it separately as $250 billion of pure deficit spending. This is the mother of all budgetary gimmicks. I write about it in today’s column.