"Defeating the public option should be a top priority for the GOP this year," former Bush adviser Karl Rove wrote in the Wall Street Journal. "Otherwise, our nation will be changed in damaging ways almost impossible to reverse." Rove contends that "if Democrats enact a public-option health-insurance program, America is on the way to becoming a European-style welfare state."But commentator Joe Conason argues that Medicare has been much better at controlling costs than private insurance, has much lower administrative costs, and has higher patient satisfaction. He asked: "If the private sector is truly the efficient solution to our costly, wasteful and unfair health care system, then why are they so frightened of a public plan?"