‘reduce access to care or diminish the quality of care’
CBO is explaining that the legislation’s claim to fiscal responsibility requires cutting in half the rate of growth of per capita Medicare spending. And, according to CBO, absent magical greater efficiencies in the delivery of health care, accomplishing those fiscal goals might well require reducing access to health care and/or diminishing the quality of health care. So less access and lower quality is a very real possible consequence of this legislation. This is a point critics of the bill cannot allow to be lost in all the hubbub.