We need serious entitlement reforms, but can't have a balanced budget amendment. A balanced budget amendment is ludicrous, as you have to be able to run deficits to some point. First reform should be upping the social security age by at least 10 years.
Second- tell the healthcare lobby to take their money and stick it where the sun don't shine, by opening state lines for competition- I don't know how this would be done, as all our politicians are dirty, IMHO. To further lower health care costs, improve health education in schools and for %^$^%$^ sake, remove all soda, candy and white flour from school cafeterias and vending machines.
Lower sales tax and institute a sin tax for the above foods, alcohol and tobacco products. There will be whining about that, but if people are that weak that they need those products, they can deal with it- I couldn't care less! Give a tax break to gym/fitness center membership enrollments. As health improves, medical entitlement expenditures will decline.