peter orzack, who actually identified and planned the independent payment advisory board had this to say -- we need to jettison the civic 101 fairy tale about representative democracy and instead begin to build a net new set of rules and institutions. the problem with such commissions is that they reduce the power of elected officials and therefore make our government somewhat less accountable. i want you to hear that statement. we don't need democracy to decide how to handle health care. we need elites in washington to decide how to handle health care. i would put forward to you that that's the destruction of freedom in our country. and when we have the elite position that we know better grn the world has achieved more efficiency of greater standard of living and has done it through market forces and we need to abandon representative democracy as we do that is the height of the choice that reagan identified. what are we proposing? senator burr and i introduced in the senior's choice act is an idea to create competition through premium support. if you're on medicare, you like it the

in the book, i write about how even some of obama's own advisors like peter orzack had concerns there'sso much money that congress can get out the door. to fix that, there's two things you want to do. one is cut taxes. they could have done more. second thing is they could have sent more money to the states that are laying out firefighters and policemen. they tried to do that. they should have done a little bit more. it was congress that prevented them from doing that. i think that would have been pretty effective. you don't want to lay off a bunch of teachers in a recession. >> you hate to have anybody laid off. what, though, do you feel is the political peril for the president if he fumbled the stimulus and the economy? >> look, obviously the unemployment is the single most important factor in determining whether he's going to be re-elected and i think that's just the thing they didn't quite get. i mean, obviously they knew this unemployment rate was going to be important but the president has other goals, health care being one of them, cap and trade, climate change, legislation being