Forget the Obama czars. Obamacare would make the Department of Health and Human Services Secretary Kathleen Sebelius one of the most powerful people in Washington:

As written, the Senate’s 2,079-page health bill would make HHS, already by far the largest federal department in terms of spending, even more large and powerful.

Even now, the HHS budget of more than $800 billion makes it one of the 15 largest economies in the world. It’s that big. And the Senate, heedless of the old advice that bigger isn’t better, is about to make it even bigger.

According to Washington’s scrappy, the Senate bill would grant HHS Secretary Kathleen Sebelius sweeping new powers, “including the authority to decide what medical care should be covered by insurers as well as the terms and conditions of coverage and who should receive it.”…

It wouldn’t be so bad if HHS were a model of efficiency in other ways. But it isn’t. A recent Government Accountability Office report notes the U.S. government wastes an estimated $98 billion a year. Of that, some $50 billion is wasted annually by Medicare and Medicaid, both of which are run by HHS.