This event involves a CBO warning about potential automatic Medicare cuts triggered by PAYGO rules if Congress doesn't act. Constitutional damage is moderate (24.7): rule_of_law (3) for statutory budget mechanisms, civil_rights (3) for healthcare access impacts, capture (3) for tax policy favoring certain interests, election (2) for political timing, separation (2) for legislative-executive dynamics, corruption (2) for policy trade-offs. Resource reallocation mechanism adds 1.3x modifier, federal scope 1.2x. Severity: durability 1.2 (multi-year), reversibility 0.9 (Congress can waive), precedent 1.1 (established PAYGO process). Distraction score 23.9: high outrage_bait (7) and media_friendliness (8) for Medicare cuts narrative, pattern_match (8) for anti-Trump framing, mismatch (6) between automatic trigger and blame assignment. However, this is fundamentally a hypothetical conditional event requiring Congressional inaction, with clear legislative remedy available. The CBO warning itself is procedural, and PAYGO waivers are routine. Neither threshold met (A<25, B<25), plus strong noise indicators for speculative future harm.