As TalkingPointsMemo says:
Their recommendations are more or less a list of the third-rail issues of American politics, including cuts in the number of federal workers; increasing the costs of participating in veterans and military health care systems; increasing the age of Social Security eligibility; and major cuts in defense and foreign policy spending.
The first recommendation should be: don’t touch health reform. But the recent election demonstrates why these proposals will be nearly impossible to enact. The commission recommends capping Medicare and Medicaid growth and quickly cutting Medicare Advantage payments. Republicans absolutely railed against health reform provisions that are much milder than this. That led Sen. Richard Burr to claim that reform “steals” $500 billion from Medicare.
I don’t see much of this list making into legislation.