The House version of the bill creates 53 new departments, agencies and commissions, but one stands out: the National Institute of Comparative Effectiveness. Though it may sound benign, this bureaucracy will be used to ration care.

A similar institution exists in Britain, called the National Institute for Health and Clinical Excellence, given the curious acronym of N.I.C.E. Rulings on whether people live or die are made frequently in Britain and Canada, and if an individual has a pre-existing condition, is elderly, or for some reason deemed “unfit” for a lifesaving procedure, his chances of being granted that lifesaving procedure become uncertain. With health care rationing, lives will literally hang in the balance, subject to the whims of government.

In fact, it is documented that in countries where socialized medicine is in place, citizens suffer from drastically lower survival rates from ailments such as cancer and heart disease. On balance, survival rates range from around 30 percent to 50 percent below countries with private medicine.