This episode has confirmed my suspicion that seizing power for the bureaucracy was the primary point of Obamacare — even beyond expanding access to health insurance. Such centralized control gives the government the weapons and the pretexts — increasing efficiency in the provision of health care and promoting “wellness” — to smash the principles of limited government and transform us into a bureaucratic state. In other words, the U.S. is on a course that will turn Washington, D.C., into Brussels. Just wait until the cost-benefit boards and the Independent Payment Advisory Board come on line. Then we will see what bureaucratic power really looks like!