The deficit commission endorses some key elements of the Affordable Care Act. The draft proposal recommends speeding up cuts to Medicare Advantage and charity care payments to hospitals, both provisions in the ACA. The commission report also calls for a much stronger Independent Payment Advisory Board, the newly created commission charged with slowing the growth in Medicare spending. (Republicans have cited IPAB as a health reform element they want to repeal or defund.) The debt commission draft proposal also endorses one much debated conservative idea and one much debated liberal idea that didn't make it into the final bill: tort reform and a public option.