“For the first time in Medicare history, the Medicare Chief Actuary has called the projections in a Medicare Trustees Report ‘unreasonable’ and ‘implausible’ and encouraged everyone to ignore them and view instead an ‘Illustrative Alternative’ report… The alternative report says that the number of facilities that would become unprofitable will grow to 25% by 2030 and 40% by 2050 if the health reform law is implemented as written.”