More things start appearing as the thousands of pages are scrutinized.

http://tinyurl.com/ya9o9z3
What Doctors and Patients Have to Lose Under ObamaCare Changes to Medicare will give the feds control of surgical decisions. By SCOTT GOTTLIEB
...The plan's most tangible efforts to restrain medical costs are through its controls on specialist physicians....It all starts with the sweeping power that the Senate bill gives to the Centers for Medicare and Medicaid Services. The agency will be given the authority to unilaterally write new rules on when medical devices and drugs can be used, and how they should be priced. In particular, the Obama team wants to give the agency the power to decide when a cheaper medical option will suffice for a given problem and, in turn, when Medicare only has to pay for the least costly alternative...****This is the agency the bill tries to make unmodifiable in the future by declaring any effort to do so to be "not in order" with respect to Senate rules. Whether such insulation against subsequent Congresses having any discretion is Constitutional ( or even sensible under any legal theory )is questionable.Who knows? The one thing lawyers are good at is dreaming up unreasonable strictures on ordinary logic and commonsense.This harks back to a dictatorial version of "democracy": one man, one vote, one time.****