▁would ▁in ev it ably ▁bring ▁about ▁a ▁reduction ▁in ▁care , ▁despite ▁the ▁anti - r ation ing ▁language ▁in ▁the ▁bill . ▁Congress man ▁Phil ▁Ro e ▁from ▁Tennessee , ▁a ▁doctor , ▁war ned ▁that ▁IP AB ▁would ▁r ation ▁care ▁through ▁payment ▁policy . ▁American ▁Medical ▁News ▁charged ▁that ▁the ▁bill ▁gave ▁IP AB ▁" un pre ced ented , ▁dangerous ▁authority ▁to ▁cut ▁Medic are ▁pay ▁rates ▁and ▁str angle ▁access ▁to ▁care ." ▁ ▁Exper ts ▁ ▁Health ▁econom ist ▁U we ▁Rein hardt ▁thought ▁that ▁given ▁the ▁" d ub ious ▁style ▁of ▁campaign ▁finan cing ▁of ▁which ▁we ▁all ▁are ▁vict ims ▁now ," ▁an ▁independent ▁Medic are ▁commission ▁was ▁the ▁U . S .' s ▁only ▁hope ▁to ▁rest rain ▁Medic are ▁sp ending . ▁Rein hardt ▁critic ized ▁former ▁chairman ▁of ▁the ▁House ▁W ays ▁and ▁Me ans ▁Sub comm ittee ▁on ▁Health ▁William ▁Thomas ' ▁ 1 9 9 5 ▁comment ▁as ▁em blem atic ▁of ▁the ▁sp ur ious ▁reasoning ▁found ▁in ▁Congress . ▁Of ▁a ▁payment ▁system ▁that ▁res emble d ▁bund led ▁payment , ▁Thomas ▁said , ▁" I ' m ▁not ▁wild ▁about ▁a ▁payment ▁system ▁that ▁involves ▁telling ▁a ▁bunch ▁of ▁innov ative ▁entrepr ene urs ▁that ▁they ▁can ' t ▁be ▁in ▁the ▁business ▁anymore ". ▁Rein hardt ▁critic ized ▁this , ▁saying ▁Thomas ▁" se emed ▁un inter ested ▁in ▁what ▁made ▁more ▁clin ical ▁and ▁economic ▁sense . ▁His ▁was ▁purely ▁an ▁industrial ▁policy