The Secretary of Health And Human Services' power will encompass every aspect of our lives, for example:
                The Secretary of Health and Human Services shall conduct a demonstration project under part B title XVIII of the Social Security Act... 
                ...the Secretary shall establish appropriate payment rates for such tests. 

   The Social Security Act is cited 765 times and Internal Revenue Code 197 times and for those of you who did not know, "Activities of Daily Living," are defined as Eating, Toileting, Transferring, Bathing,  Dressing, and Continence.

                  However Obamacare aka The Patient Protection and Affordable Care Act does and will provide that the most powerful person in the world appointed by the president, the Secretary of Health and Human Services gets the power to:

• Monitor premium increases of health insurance coverage
• Monitor payments of employment-based plans
• Monitor data reporting determined necessary to Monitor Medicaid
• Monitor the health and well-being of each individual who receives home and community-based attendant services and supports,  
  and
• Monitor and oversee all service system functions for providers of services under federally and State-funded programs
  plus
• Monitor a complaint system, a management system, a system to qualify
  and
• Monitor providers, systems for rolesetting (whatever that means) and individual budget determinations
• Monitor and report total expenditures, health outcomes, and benefits for all dual eligible individuals. (A dual eligible individual is one who received state and federal benefits)
  
  The Secretary of Health and human Services will
• Monitor hospital readmissions, chronic care, and health information technology (including the use of wireless patient technology
  and
• as a condition for receiving payment for health home services provided for individuals with chronic conditions, there will be a designated provider (aka Monitor)  
• Monitor Inpatient Care, Including Intensive care using electronic Monitoring by specialists, including intensivists and critical care specialists, based at integrated health systems
  and
• The Chief Actuary of the Centers for Medicare & Medicaid Services (not your physician) will report through the use of telehealth, remote patient Monitoring and other enabling technologies
• Monitor data on expenditures and quality of services
  and
• Monitor Medicare Prescription Drugs and initiate interventions and treatment planning
• Monitoring  health outcomes and resource use, sharing information, treatment decision, and organizing care
• Monitoring access to, ordering, performing laboratory assessments, evaluating response of patients to therapy, including safety and effectiveness; and perform an initial comprehensive medication reviews and target medication reviews for
• ongoing Monitoring, and additional follow-up interventions on a schedule
  
  The Secretary, Shall
• Monitor workplace policies and programs, community health worker programs and participate in other activities,
• as determined appropriate
  and
• get $50,000,000 for each of fiscal years 2012 through 2015
• FOR MONITORING,
  as
• a ‘‘Special Focus Facility’’

• Many Physicians are reducing their practices to small elite groups for cash-only.
• Medical facilities are splitting into smaller units and will eventually only accept cash-only.
• Specialty physicians and specialty facilities will be utilized only by the elite.
• Medical facilities will be built based on healthcare subsidy requirements instead of patient need.
• The U.S. will lose thousands of qualified physicians who have spent most of their young lives learning the practice of medicine.
• Physicians will ceased treating the elderly by refusing Government's measly piecemeal Medicare payments hence, reducing the elderly population by reducing medical services.
• 24-hour emergency services will be a perk of the past. 
• The elder's Social Security entire benefit will go to pay medical expenses, sinking the quality life for an entire segment of our population.
• Employers will utilize taxpayer-subsidized insurance markets.
• Independent businesses and corporations are favoring single taxpayers to avoid insuring dependents.
• Family-owned businesses work only family members avoiding expensive employee health insurance.
• Independent businesses barter for services – spinal surgery for a new transmission, a chicken for an inoculation.
• Businesses and corporations are already utilizing independent contract workers.
• Corporations will divide departments into independent corporations with less than required number of qualified employees.
• Businesses and corporations are monitoring work hours to reduce the workforce during slow periods avoiding health coverage required for full time employees. 
• Insurance costs are back to the consumer.
• Insurance companies will diversify and no longer sell health insurance.
• Lawmakers will continue taxpayer-subsidized healthcare –5 years in office to qualify.  
• Taxpayers will continue to pick up the tab for legislator's lifetime healthcare.

            Thus, when promised gratis became instead, watch me take a family vacation to Spain, Africa, and play another game of golf, they began screaming, Gimme! Gimme too! Gimme too! and became so angered that pseudo-parent Obama's authority became vulnerable.  
            However, Obama, himself, so believes that he is the glorified one, and so believes his unruly children voted for him because,  oh just because, he is Obama, he told them to stop acting up and be good just because he is Obama.

            Then, the Nobel Peace Poser rolled up his sleeves and bewilderedly tried to appeal to his unmanageable followers. Still, he had no idea how to make them accountable for their actions, how to make them stand on their on, how to set an example through leadership.  Instead, his solution to end a mid-east war that has gone on for decades is to advise, hypocritically, that they "understand each other’s hopes and each other’s fears," when he has no idea what are their hopes and fears.  He does not even know–sitting behind the glass¹–what are the shovel-ready hopes and fears of the citizens of our United States.  

            Obama had no idea why they will not "do as I say," without the customary "what for what" "a favor for a favor" "you scratch my back, and I'll scratch yours", "Quid pro quo."

¹I'd Rather Have a House Painter
                                 © 1993 Janet Goodrich

I tried again yesterday to fit into my slot.
But I think the assignments were wrong.

Who makes these assignments
any...way? 
                (Sitting behind the glass)

Spots of shame are in the place where cruelty continues.
Yet dew spots poppies red without end.   When there is nothing internal
again

and color locked

turns to ashes,

rejection loves more than love's lust
and
suffering imprisons and restrains
as prison does.

Heavy and hard promises forever.
In the shadows a search for rays reveals the queerness of lust's dark prison.
Who are all these fake people

any.way?

and

how can they tell us apart?

            Blame is what's happening these days–mostly because it's easy.

            It really is lot harder to accept responsibility for your own actions. Harder to say, "it was my fault." Harder to forego the predictable lament, "I did it because you, he, she did so and so."

            You can blame the hostess, blame the bartender, or even blame the distiller for you getting snot-faced and driving and killing. But the truth is, that no matter how many scapegoats that are contrived, everyone is responsible for their own actions..

            Blame is just another way to lie and what this country needs is a leader with some backbone, some honesty, some perseverance, some strength, some buck stops here. 

            We need people who don't trade their honesty for dollars and who aren't afraid. We need a desire for ethics and character that means more than money money money.

            You know the kind, a rip roaring God Bless America and for liberty for which we stand I cannot tell a lie white-hat hero.

            Yes, what we really need is a hero.

            You remember the man. He's the one that led the march, that dove in the icy river, ran into that burning building, carried the flag, that rode off into the sunset without telling you his name.

Legislator's SHARED SACRIFICE
I keep my million dollar income and lifestyle and you pay taxes to support it.

                                  Rachana Bhowmik, Director of Special Projects and Special Assistant to the Office of Obama's Chief of Staff, who takes in $100,000 yearly salary was, in her past life, staff attorney, for the Center To Prevent Handgun Violence in Washington, D.C.

 Bayou Microbe Kindle Edition                                     NOW AVAILABLE ON AMAZON
   Armand and Celeste LeDay 's centuries old lifestyle dramatically changes when the Louisiana marshland is invaded by globs of oil from a spill and the environment is infected by its saviors.
     The marsh is saturated with oil-eating-microbes and when they won't eat up the chemicals fast enough, their inventors create inducers and stimulate the little bugs Then the microbes get hungry for a little more than oil, while unaware Armand and Celeste lovingly banter about his Catahoula Cur.