>> that's 25% less than private insurance pays right now. she says we're going to really slow the growth of medical spending and if it doesn't hit 3.9% there's going to be automatic rate reductions, who knows what that means. and so analysts have looked at this, say there's waving around and assuming that costs will go down without really explaining how it's going to what and how it's going to happen without hurting people's health care. paul: she's has a fallback in there. she says if nub of this works to add up to the way i hope it will then we're going to impose global budgets and essentially y rationing. >> dr. donald burwick, viewers may recall he helped develop the death panels, the advisory which was supposed to reduce medicare rates, payment increase over