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“The Budget Control Act of 2011 ties increases in the federal debt limit to cuts in spending on a dollar-for-dollar basis. In a deal described by one opponent as a ‘sugar-coated Satan sandwich,’ President Obama agreed that Medicare should be put on the chopping block along with other federal programs. That could prove to be the thread that unravels the massive expansion of health spending created in last year’s Patient Protection and Affordable Care Act.”

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