[bk1000]

I thought the four scariest words were “the Secretary shall determine...”

[Dutch Boy]

I agree. This is an open door to tyranny with a pen. With no defined boundaries, the wielder of the pen can pretty much anything.

[deoetdoctrinae]

Four scary words?

I know this goes beyond the ACA, but generally speaking, I am most afraid when I hear a government employee say "I'm hear to help", lol.