"I'm against big bureaucracy in Washington making health care decisions. I just have an aversion to bureaucrats. But it's not just government bureaucrats. I don't like HMO bureaucrats and insurance company bureaucrats either"
About this Quote
The line also anticipates the obvious rebuttal. If you say you don’t want Washington deciding your care, critics point out that private gatekeepers already do. Bauer preempts that by expanding his distrust to “HMO bureaucrats and insurance company bureaucrats.” It’s a broad-spectrum anti-bureaucracy pose, meant to sound fair-minded and consumer-friendly. The subtext: the real enemy isn’t any one policy proposal, it’s “them,” the paperwork class, whoever has the power to say no.
Contextually, this sits in the late-20th/early-2000s American health care trench war, when “Washington takeover” was a reliable scare phrase and managed care was widely resented. Bauer’s rhetoric tries to ride both currents: anti-government suspicion and anti-corporate frustration, without fully committing to either as the primary culprit. It’s a coalition-building sentence designed to keep conservatives skeptical of public solutions while validating the public’s lived experience of private denial. The cleverness is its symmetry; the limitation is that it offers distrust as a program.
Quote Details
| Topic | Health |
|---|---|
| Source | Help us find the source |
| Cite |
Citation Formats
APA Style (7th ed.)
Bauer, Gary. (2026, January 15). I'm against big bureaucracy in Washington making health care decisions. I just have an aversion to bureaucrats. But it's not just government bureaucrats. I don't like HMO bureaucrats and insurance company bureaucrats either. FixQuotes. https://fixquotes.com/quotes/im-against-big-bureaucracy-in-washington-making-149349/
Chicago Style
Bauer, Gary. "I'm against big bureaucracy in Washington making health care decisions. I just have an aversion to bureaucrats. But it's not just government bureaucrats. I don't like HMO bureaucrats and insurance company bureaucrats either." FixQuotes. January 15, 2026. https://fixquotes.com/quotes/im-against-big-bureaucracy-in-washington-making-149349/.
MLA Style (9th ed.)
"I'm against big bureaucracy in Washington making health care decisions. I just have an aversion to bureaucrats. But it's not just government bureaucrats. I don't like HMO bureaucrats and insurance company bureaucrats either." FixQuotes, 15 Jan. 2026, https://fixquotes.com/quotes/im-against-big-bureaucracy-in-washington-making-149349/. Accessed 12 Feb. 2026.

