Bu­reau­cracy, en­abled by law­mak­ers, to blame for much of our sys­tem’s ills

Modern Healthcare - - COMMENT -

Re­gard­ing the re­cent ar­ti­cle “Dereg­u­la­tion agenda ex­pected to con­tinue de­spite Price’s res­ig­na­tion,” (Mod­ern­Health­care.com, Oct. 3), un­elected bu­reau­crats should not be mak­ing poli­cies, bold, new or oth­er­wise, es­pe­cially those not di­rectly ap­pointed by Congress as their di­rec­tors.

But part of the blame lies with duly elected rep­re­sen­ta­tives and sen­a­tors who are lazy or in­ten­tion­ally vague in their lan­guage in pass­ing laws that are open to a wide va­ri­ety of in­ter­pre­ta­tion. This leads to the ex­pan­sion of the bu­reau­cratic “fourth branch” of gov­ern­ment that can make rules that carry the weight of the law but are di­a­met­ri­cally op­po­site of the in­tent of the law it­self, and cre­ate new jobs for more bu­reau­crats to im­pose and en­force those new poli­cies, of­ten with­out any over­sight or ac­count­abil­ity or bud­getary re­straint.

Thus the Pa­per­work Re­duc­tion Act ac­tu­ally in­creased pa­per­work, the Af­ford­able Care Act be­comes the un­af­ford­able care act, etc. “That gov­ern­ment is best which gov­erns least” is just as true to­day as it was when it was first pro­posed.

Lawrence Jankowski

Mor­ton Grove, Ill.

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