and how about The Office of the Actuary for the Centers for Medicare & Medicaid Services?
"U.S. health costs have been the highest in the world, yet our quality measures were middling at best," he says. "While there is no doubt that [health reform] has helped slow health care cost growth, which is beneficial to both national and household budgets, there is nothing in the law that tells hospitals to reduce staff. The fact is that patients are paying less, not more, as a result of the [health law]."

The Office of the Actuary for the Centers for Medicare & Medicaid Services predicted that decreases like these would occur, stating in a 2010 memo that by 2019 it expected hospitals, skilled nursing facilities and home health agencies would undergo a 15 percent reduction.
the law sez they will get 15% less money, So they use layoffs to recoup some of those losses. Somehow what these people are saying isn't true. Unpossible!