Everyone is glossing over the medicare reimbursement cuts.
These are going to have huge knock-on effects. Already, medicare reimbursements are below cost for many specialties (eg., family practice). On top of that, MOST hospitals in this country are run on very tight margins, given the declining reimbursements and increasing costs of doing business in the healthcare field. The end result will be less hospitals and providers taking medicare patients. I have already heard that patients have a hard time finding providers who take medicare in small towns - soon, we may see that almost no one, even in large cities, will accept medicare.
It's sad, because ultimately the burden is going to fall on the patient. The only other option will be for the government to force providers to accept medicare, at which point people will begin to leave the medical field in droves.