Yes, inevitable.
The continued deficit spending at well beyond the Fed Funds Rate is now exactly where mathematics said would occur back when I started writing the columns on this subject, and which was the reason for my authoring "Leverage" in the post-2008 timeframe.
Mathematics is an exact science; it is not political nor can it be evaded. You can try to evade the effects by shifting them onto someone else, but you can't prevent what mathematics tells you will occur. It matters not if you're a Democrat, Republican, Libertarian.... or Martian.
The fraud in Medicaid, which appeared from first reports to be centered in Minnesota, is not just a Blue State thing by any stretch. It is everywhere and it is the indicator of corruption in the Medical system generally: "Medicine" is no longer about actual health at all; it has become an extraction racket in virtually every case, where the goal is to find something that can be billed for, and then to keep you in a place where you're forced to pay in some form or fashion.
Then you add to it the "billing provider" game and you have an endemic fraud source that makes a lot of people a lot of money.
With CMS spending alone accelerating by 10% annually, well beyond the rate of alleged inflation and with rates below the deficit as a percentage of GDP if this expansion is not stopped now it will inevitably lead to the inability of the government to make interest payments or your bankruptcy as inflation destroys any chance of you being able to continue to live whether your earnings come from a job or alleged retirement savings. This is already occurring with interest expense going vertical.