Nineteen new agencies created as a result of the 
Massachusetts Chapter 58 Health Reform Law

• Health Care Quality and Cost Council (13 members)

• Advisory Committee (20+ members)

• MassHealth Payment Policy Advisory Board (18 members)

• Special Commission regarding employer contributions to Uncomp.Care T. F. (9 members)

• Health Disparities Council (34 members)

• Public Health Council (17 members)

• Health Care Access Bureau (4+ employees appointed by the Insurance Commissioner)

• Health Safety Net Office in the Office of Medicaid

• Statewide Advisory Council to Department of Public Health (15 members)

• Special Commission to study impact of merging non-group insurance (9 members)

• Commonwealth Care Trust Fund

• Essential Community Provider Trust Fund

• Medical Assistance Trust Fund

• Department of Mental Retardation Trust Fund

• Health Safety Net Trust Fund

• Pediatric Palliative Care

• Commonwealth Health Insurance Connector Authority (10 members)

• Commonwealth Care Health Insurance Program

• Health Safety Net Office

This is not to say that any or every one of these new agencies does anything wrong, but it is to ask why there needs to be such expansion of governmental layers to meet the goal of health care.We can only dream of how many doctor's visits could be had for the money that is pouring into these agencies. 

There is an old saying that says, 
"If the only solution you have is a hammer, every problem looks like a nail". 

 Carpenters build houses, surgeons perform surgery, bureaucrats build bureaucracy.