Mayor Bloomberg’s ban on large soft drinks, trans fats , salt, and now the assault on a new mother’s right to choose how to feed her baby is a stark reminder that whoever pays has the power to control. It is no mistake that these overall meaningless rules are an attempt to control behavior. They are trial balloons sent up to see how far the American public will allow themselves to be pushed before they say enough. Now that the Affordable Healthcare Act has passed, we can all look forward to the government deciding what services will be covered – after all under Medicaid and Medicare the government is footing the bill, and private insurance companies follow their lead. In the era of healthcare under the Affordable Care Act, cost will become the driving force, and ultimately it will be the government that will decide who lives and who dies.