Not about guts. The Rules of DC MSM Framing mean that only Republicans are allowed to engage in that kind of talk.
Perfectly okay for Republicans to talk about “death panels” and have it treated as a perfectly valid assertion. If Democrats, however, dare talk about this as a death bill, notwithstanding the demonstrable statistical truth of that statement, they will get many pinnochios and pants on fires and much sniggering and tut-tutting. Even today, from the temporarily less obtuse MSM.
The fact that Republican hyperbolic Luntzisms are based on nothing, while those of Democrats are based on math is the problem. Because nothing is real, but math is fake.