House Democrat Leader Steny Hoyer just suggested that Democrats want to create a more competitive, transparent health care marketplace.  But their bill does just the opposite.  Section 202(c) of H.R. 3962 (page 100 of the House-passed legislation), requires that health insurance can only be offered through a national, government-run exchange.  The bill would prohibit the purchase of insurance that is not approved by the government or sold through the government exchange.  How does forcing people into a government-run program constitute the creation of a competitive, transparent marketplace, except in the most Orwellian vision of health care?