The only issue i can see being posed is after the budget has passed is that they woo Biden who is overseeing its spending, and can possibly influence his decisions. Or become well aware and lobby strong to ensure no such measures are passed that tighten the noose around their necks, for next time.
I believe Obama knows that he won’t get it all, but pitch the bargaining chip high and you may end up close to the desired results. There’s alot a stir in motion from the following excerpt of the headlines:
Hospitals also face cuts…Which hospitals? Public sector or Private?