That is far less likely to happen if Congress also adopts strong "pay-go" rules requiring that any increase in payments to providers be offset by new taxes or budget cuts.

如果国会也采取强硬的“现收现付”规则，要求用新税收或预算削减来抵消向供应商支付费用的增加，这种情况发生的可能性就会小得多。