“A weak government bureaucracy can be easily expanded...”
I think this will be accomplished by the committee Obama wants to set up to monitor the health care plan. My understanding is that this committee will make annual recommendations to improve the health care plan. Unless congress votes against ALL of the recommendations, the recommendations will automatically become part of the plan.
This sounds suspiciously like the congressional pay increases, whereby the increases automatically go into effect unless the congress votes against them in a secret vote.