What passes for a joke on Capitol Hill these days is that Bernie Madoff, given his experience managing Ponzi schemes, should be put in charge of the federal budget. Nancy Pelosi & Co. seem to have taken it as a serious suggestion.

Any day now, the House is expected to vote on a $210 billion fiscal swindle that will prevent automatic cuts in Medicare payments to doctors. The entitlement's price controls are scheduled to fall by 21.5% in January and another 2% every year after that under a formula known as the sustainable growth...