Thomas Sowell‘s latest column posted at Human Events slams the federal bureaucrats who revived a controversial health care measure specifically rejected by Congress:

Bills passed too fast for anyone to read them are blatant examples of these end runs. But last week, another of these end runs appeared in a different institution when the medical “end of life consultations” rejected by Congress were quietly enacted through bureaucratic fiat by administrators of Medicare.

Although Congressman Earl Blumenauer and Senator Jay Rockefeller had led an effort by a group of fellow Democrats in Congress to pass Section 1233 of pending Medicare legislation, which would have paid doctors to include “end of life” counselling in their patients’ physical checkups, the Congress as a whole voted to delete that provision.

Whatever the merits or demerits of the proposed provision in Medicare legislation, the Constitution of the United States makes the elected representatives of “we the people” the ones authorized to make such decisions. But when proposals explicitly rejected by a vote in Congress are resurrected and stealthily made the law of the land by bureaucratic fiat, there has been an end run around both the people and the Constitution.