The last people we want making decisions about the relative merits of care options are boards of faceless, non-accountable government bureaucrats. And if we are going to go down the road of imposing more government-devised restrictions on care, we should at least be honest that the the plan intends to use impersonal bureaucracy to take away care. That, after all, is central to making it all “affordable.” If we really wanted to eliminate unneeded procedures and tests, we’d insulate doctors from the trial lawyers and put people in charge of paying for their own insurance.