Rich Weinstein’s quip, here, exposes a deadly serious problem with the progressive style of governance:

Rhode Island jumped into ObamaCare with both feet, and not only are our hospitals struggling, but people are having a terrible time finding primary care doctors.  Maybe those two things are cause-and-effect, maybe they’re loosely related, or maybe there’s no connection at all, but contrast the absolute surety that ObamaCare would fix all problems with the complete disinterest in exploring new problems that have arisen since it was passed.

If government control were to be effective, it would have to be characterized by continual measurement and reassessment, but the incentives are exactly the opposite.  We don’t get the power of government bent toward cool, clinical evaluation.  We get that power intent on avoiding questions and passing blame to others.