But you aid the ACA gave the Secretary the authority to determine everything.<quoted text>
Now, why would anyone object to a president acting like he's a dictator and circumventing Congress in violation of the Constitution?
Congress doesn't have the authority to grant the president the liberty to write his own laws, dumbass. Read the Constitution if you're confused about this.
Sebilius only determines what to pay and what not to pay. As the ObamaKare law states "The Secretary will determine...." everything.
After 'health,' the most frequently used word in the Patient Protection and Affordable Care Act (PPACA) is neither “patient” nor 'physician' nor 'hospital' nor 'insurance.'Secretary,' as in 'the secretary of health and human services,' is mentioned more than 2,500 times in the 2,300-page bill. And more than 700 times, the PPACA says 'the secretary shall....' determine everything.
There is nothing written ObamaKare as a specification dictating in accordance with what the Secretary shall make the determinations. It's completely, 100 percent by the political whim of the Secretary.
As written, the Secretary can select a single case and deny payment, if the Secretary so chooses. Or, the Secretary can establish their own criteria for payment of services. Related to the referenced case, the Secretary determined that person would not receive health care.
It's just like this:
ObamaKare Death Panel: "We're sorry, Mr. Smith. Your life isn't funded for next year because some crackwhore needs an abortion."
Were you lying??
And what does your wife needing an abortion have to do with anything?