"If we increase spending, we have got to raise taxes or any combination"

This quote by Bobby Scott is referring to the requirement to increase costs in order to money particular efforts. In order to do this, either taxes need to be raised or a mix of other methods should be utilized. This could consist of borrowing money, cutting costs in other locations, or finding other sources of earnings. The ramification is that if costs is to be increased, then taxes should be raised in order to cover the expense. This is a tough choice to make, as it can be unpopular with the public, however it is needed in order to money the efforts that are needed. Ultimately, it depends on the government to choose how to fund the efforts, however it is clear that taxes must be raised in order to do so.