With the coming of the Obamacare decision, a new era has now fully dawned for the United States of America — even in the unlikely event that Obamacare is legislatively repealed. The beating heart of the Affordable Care Act is technocratic. Within the next few years, unelected and unaccountable bioethical cost/benefit boards of experts will decree from central control what (and perhaps, who) is covered by health insurance, and what (and perhaps, who) are not — just as happens in places like the United Kingdom. The Independent Payment Advisory Board even has power over a presidential veto regarding areas within its jurisdiction.
In this sense, think of Obamacare as our Brussels, the E.U.’s bureaucratic central control center. The cornerstone been laid for the construction of a full-blown bureaucratic state. Limited government is dead. Long live the technocracy!
Wesley J. Smith is a senior fellow at the Discovery Institute’s Center on Human Exceptionalism. He also consults for the Patients Rights Council and the Center for Bioethics and Culture.