Those conclusions are taking the available detail of the current proposals to conclusion. I seriously doubt that any proposal would pass that results in such a

Those conclusions are taking the available detail of the current proposals to conclusion. I seriously doubt that any proposal would pass that results in such a conclusion. The point the article is making is that the proposals need to consider the facts that result in that conclusion (ie, current Medicare/aid rates cannot support the current industy), and need to offer proposals to counter act such a conclusion. Any proposal that doesn't is not a proposal, but a platitude.