A quote from Paul Ryan, minority leader on the U.S. House of Representatives budget committee:
[Peter Orszag] believes you need to set up this über-bureaucracy—the institute of comparative effectiveness—which we’ll put smart people in, and they will design the metrics and the processes on how medicine is to be practiced. And then the federal government will impose and enforce those processes... It is precisely what they employ in England. It’s precisely what they employ in Canada.
So, Congressman Ryan, I'm guessing you haven't spent a lot of time here in our pleasant Dominion?