Beware of Medicare cost reform

"Much of the hard work for changing costs could come in a new Medicare Commission, where experts would figure out what care is most productive and how to reshape payment plans. Congress would still get a say, but only after the commission had made its determinations."

http://www.miamiherald.com/business/story/1286829.html

"What care is most productive"?

How would you like to need a procedure that this independent unanswerable unaccountable panel of "experts" decides doesn't pass their cost / benefit analysis?