Before the Democrats who control Congress push through a trillion-dollar expansion of government-run health care, they might want to know the facts about how efficiently the government has handled health care in the past, and how much bigger the government will grow once the bill becomes law.

When all is said and done, President Obama's plan mandates dozens of new entitlement programs and creates scores of new government offices, bureaus, commissions, and programs, all of which will have to be funded, staffed and managed at taxpayer cost.

Moreover, an expansion of the federal bureaucracy at that rate will greatly increase the incidence of waste, fraud and abuse in health care. Already Medicare, which accounts for 14% of all federal spending, is rife with waste, fraud and...