"We weren't looking to create a new bureaucracy, but to do a better job with what we've got," he said.

Critics say the bill would require a huge new bureaucracy to review the rules.

He said there should be very firm evidence of a systematic problem before a new bureaucracy is established.

"As to whether we need to create a new federal bureaucracy to enforce the rules, I would hope not."

"It also doesn't make sense to create a whole new bureaucracy when one already exists."

House Republicans objected to the creation of a new federal bureaucracy.

Rather than create a new bureaucracy, we have a system in place to build on, Medicare.

Similarly we do not want to create a large new bureaucracy which would hang around waiting for the next crisis to happen.

I do not think we should be creating a new bureaucracy.

I know that at first such a thing raises fears of a new bureaucracy.