Temerity. It is an old fashioned word, dating back to the 15th century. Rooted in Latin, the modern definition is "excessive confidence" or "audacity". To be sure, there are other, more colloquial terms that are usually applied to actions that are so outrageous that they defy polite description.
Regardless of the terminology you prefer, a little-noticed provision in PPACA should be added to every dictionary's definition of temerity. While poring over the forced marriage ("You'll learn to love it") that is ObamaCare, you may have overlooked the Physician Payments Sunshine Act. Many were unaware until the Centers for Medicare and Medicaid Services (CMS) published draft guidelines last month.
Concerned about conflicts of interest in physician-industry relationships and fretting over the additional costs such conflicts might bring, CMS will require any company that manufactures medical products to disclose anything valued at more than $10 that is given to a physician. According to CMS, such disclosures must be posted on a public website.