Last month, former President George W. Bush had a stent inserted to open a blocked artery. End of story, right? Not exactly. For weeks, doctors have been debating whether the procedure was necessary. The debate illustrates why we should be concerned about how Obamacare is implemented.

Dr. Richard Besser, a medical correspondent for ABC News, questioned why George Bush had an exercise stress test as part of his routine physical exam. It was during such a test at the Cooper Clinic in Dallas that his primary care physician noticed EKG changes and ordered a CT angiogram. It revealed a severe blockage in a crucial position in a coronary artery.

Two physicians wrote in a Washington Post op-ed column that George Bush’s surgery was unnecessary. Moreover, they worried that the media coverage of his stent would lead “patients to pressure their own doctors for unwarranted and excessive care.”

Dr. Marc Siegel, physician and associate professor at NYU, recently responded to some of the criticism. He said it was “completely reasonable to perform an exercise stress test. If only Jim Fixx, author of The Complete Book of Running, had a stress test, he might be alive today, rather than dying of a heart attack while jogging in 1984.” He also added: “Doctors who have stated that his cardiac work-up was unnecessary are doing what bad TV experts do all the time—speculating wildling without enough information.”

I agree with Dr. Siegel we don’t have the information (nor do most of us have the expertise) to say who is right. But I hope we can agree that the doctors closest to George Bush were the ones who should make the decision about what to do next. They had the medical facts and President Bush’s medical history.

This is one reason to reject how Obamacare will be implemented. Bureaucrats or a committee of doctors and bureaucrats a thousand miles away will be making decisions about medical treatments. They will never be able to make good decisions about what medical care is appropriate for you.