President Obama’s plan to control Medicare spending — an expert board of cost-cutters — might have trouble even coming into existence.

Obama and Mitt Romney spent a lot of time during Wednesday’s debate talking about the Independent Payment Advisory Board (IPAB), a 15-member panel tasked with slowing the growth in Medicare spending.

The candidates clearly disagree about whether the IPAB is the right approach. Obama described it as a panel of experts leveraging Medicare’s purchasing power to bring down healthcare costs, while Romney cast it as a band of faceless bureaucrats whose decisions will ultimately undermine seniors’ access to care.