Is Apple's iTunes App Store rejection policy.
They routinely, or randomly (who can tell?) reject apps for things like using a clock image to represent time. Reason? Because Apple uses a clock image to represent time on it's apps. One problem: said rejection was the 3rd version of the app in question to go online -- and all the previous versions had used the same clock icon.
They rejected apps because the apps allowed users to go online to sites that had bad words on them or age-inappropriate books, like the Kama Sutra. But the same sites are freely available via Apple's own web browser, or any web browser, because they are simply web pages!
Apple has a complex set of rules used to internally vet apps. Not just technical things like does it actually work and not crash the iPod/iPhone, but aesthetic ones and esoteric ones that are quite subjective.
Apps that would pass inspection with inspector A might fail under Inspector B's scrutiny, and have done so when updates were offered, but reviewed by different inspectors.
Why is this a perfect model for Pelosi-care?
Because it is a real-world, small scale model of the foilbles of central control.
If Health Monitor employee A is having a bad day, he or she could subconsciously reject (or approve!) treatments that day. Then, because the system is closed, even an appeal process is under the thumb of bureaucrats.
In Pelosi-care, you cannot sue the government or simply go buy the healthcare you want. It's her way or the worm-farm.
Same with Apple's App Store. There is no appeals process. You can write to them, but they don't have to respond to you. Heck, until recently, they didn't even give specific reasons for rejecting the app.
Now, such a approach is okay for market of applications that run on small handheld phones and entertainment devices. No one dies because tic-tac-toe can't be downloaded today.
But these things are NOT okay when lives are at stake.