Tucked away in the Affordable Care Act is a promising remedy, the Independent Payment Advisory Board. Unfortunately, Republicans and even some influential Democrats are gunning for the board; the House voted last week to abolish it. So much for countless hours of rhetoric about trillion-dollar deficits. The need for something akin to the IPAB will become even more clear in 2014, when millions more Americans obtain health insurance (unless, of course, the Supreme Court strikes down the individual mandate).