A death panel by any name would smell as sweet ...

The senate bill includes a provision that the section of the bill that regulates the Independent Medical Advisory Board - the panel of bureaucrats who will be rationing care - can only be repealed or amended by a super-majority of the senate.

In a letter to Harry Reid last week, CBO Director Douglas Elmendorf noted (with a number of caveats) that the bill's calculations call for a reduction in Medicare's spending rate by about 2 percent in the next two decades, but then he writes the kicker:

"It is unclear whether such a reduction in the growth rate could be achieved, and if so, whether it would be accomplished through greater efficiencies in the delivery of health care or would reduce access to care or diminish the quality of care."

Reducing access to care or diminishing the quality of care. 

I'll take whatever's behind door number three.