While I agree that spending is out of control and needs to be reduced, I would refine that statement to say "wasteful spending" needs to be reduced. If we could reduce fraud and the lining of pockets, we'd probably be surprised at how many programs we actually CAN afford, if run efficiently.
Also, considering all the jobs (high paying middle-class jobs) that have been lost, and the huge number of underemployed, a far larger budget problem is loss of revenue.
What was the main difference between now, and the Clinton years of balanced budgets? We still had social programs, we still had teachers unions....but we had lots of people working, paying the same or slightly more taxes....and we had a budget surplus.
Its JOBS LOSS and NAFTA that put us in this hole. And wasteful spending to pile on.