Michael Kinsley once said that a gaffe is when a politician accidentally tells the truth. John Dingell (D-MI) committed a heck of a gaffe when he explained why the health care bill takes years to take effect:
The harsh fact of the matter is when you’re going to pass legislation that will cover 300 American people in different ways it takes a long time to do the necessary administrative steps that have to be taken to put the legislation together to control the people.
(Emphasis mine.)
That, is exactly what health care nationalization is about.