"Congress is playing Russian roulette with seniors' health care," said AMA President Dr. Cecil B. Wilson. "Congress has finally taken its game of brinkmanship too far, as the steep 21% cut is now in effect and physicians will be forced to make difficult practice changes to keep their practice doors open." [source]
I think he means, "You seniors need to vote out the people who caused this mess and we'll try to fit you in for an appointment."