OBAMA'S TYRANNICAL AMBITION By Paul Rahe, Powerline

President Obama has one distinguishing feature. He is a man of rigid self-discipline. Politicians are a lot like actors: they tend to be vain; and, more often than the rest of us, they are presented with the temptations to which the vain are prone.

Many--one thinks of Bill Clinton, John Edwards, John Ensign, and Mark Sanford--succumb. If, however, in his personal life as an adult, Barack Obama has strayed from the straight and narrow, we have heard nary a word.

It is, in fact, a sign of his astonishing self-discipline that we know next to nothing about his life apart from what he chose to impart in the two autobiographies he published. For a long time now, for longer than we can perhaps imagine, every move he has made has been carefully calculated, calibrated, and choreographed. In this regard, he is in the fullest sense what every politician aims to be: a self-made (one might even say a self-invented) man.

It is easy to see why someone like Evan Thomas should think him a god. Once in a while, however, when Obama gets separated from his teleprompter, the mask slips a tad. On the hustings, Joe the Plumber caught the candidate off guard and got him to admit the truth about his plans to effect a redistribution of wealth. Something of the sort happened again last week--when, at a carefully staged rally for the administration's health care proposal, to which the flacks who run ABC News tellingly invited no one who regards the current healthcare arrangement as even remotely satisfactory--President Obama responded to a question by acknowledging that his plan aimed to reduce medical costs by aligning "incentives" in such a fashion as to discourage the sick and the dying from undergoing "additional tests" or taking "additional drugs that the evidence shows is not necessarily going to improve care."

Obama's choice of words was, as always, soothing. But anyone familiar with the healthcare debate will immediately recognize what he left unsaid.

We all know that, wherever there is socialized medicine,
there is rationing.

Cutting costs is, in fact, its rationale, and this end is achieved by a refusal on the part of the government to pay for care that the bureaucrats judge uneconomic. Already now, in the semi-socialized system to which we have been made subject, those consigned to HMOs come up against gatekeepers charged with shaving costs by restricting care.

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