My Perception vs My Reality Post Your Perception and Your Reality to any issue. For Example: Charlie Rangel said on Bill O'Reily that the Republicans are going to cut 10 Billion from Medicaid. He created a Perception that the Republicans are going to take a benefit away from the needy. My Reality is...their is new technology coming to market that will drive 10's of Billions out of the cost of Medicaid and still deliver the same level of service. We can also cut fraud and eliminate more that 10 Billion.