The order, originating with Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner, covers Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa and the Northern Mariana Islands. The reason: It is destabilizing island insurance markets. Gee, it's destabilizing mainland insurance markets, too, and the White House response is, "Oh well ... " Time for this guy to go. I'll give him this, though, he's getting clever. He has plausible deniability in this, since Tavenner and not he issued the order. He could always say, "Hey, I didn't do that!"