This week House Speaker Nancy Pelosi (D–CA) and the House leadership are working feverishly to enact H.R. 3590, the highly unpopular Senate health bill. It includes new middle-class taxes and government spending, bunches of federal boards and bureaucracies, mandates and penalties, an entitlement expansion, and unprecedented taxpayer funding of abortion. It is also characterized by flagrant inequities: special back-room deals at the expense of federal taxpayers.