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Before the Senate votes to raise the nation's $12.4 trillion debt limit on Wednesday, it will debate an amendment from the leaders of the Senate Budget Committee to create a task force for recommending how to reduce the biggest deficits since World War II, in time for Congress to vote on its recommendations after the midterm elections.
Insurers argue that the plan does not go far enough to reduce the biggest cost in the system: frivolous lawsuits filed by people injured in car accidents who want to recover damages for "pain and suffering". They say the changes are not likely to reduce the number of lawsuits, insuring that rates will creep back up again in the coming years.
And therein lies the crux of a fiscal dilemma that politicians and policymakers will face as they struggle to reduce the biggest budget deficit in the history of the world.
Mr Carne told the BBC one of the changes he had made when he started in the post earlier this year was to reduce the biggest possible bonus he could get from 160% to 20%, of his salary, or around £135,000.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com