President spares Berwick the circus

By | July 7, 2010, 4:34pm PDT

Summary: Washington Post blogger Ezra Klein predicts Republicans will be pleasantly surprised by Berwick, whose advocacy of “patient-centered” health care is traditionally seen as conservative.

Defying Republicans who saw no objection when George W. Bush did the same thing many times, President Obama today gave Donald Berwick a recess appointment to serve as head of the Centers for Medicare and Medicaid Services (CMS).

Republican Senators had sought to re-litigate health reform through the Berwick appointment, but the President acted after Democratic Sen. Max Baucus refused for weeks to even schedule a hearing on the nomination. Baucus condemned the move.

Berwick is widely admired in the health industry, with 90 major advocacy groups having written in support of him just last week.  By way of full disclosure, this blog has also been supportive of the nomination.

Washington Post blogger Ezra Klein predicts Republicans will be pleasantly surprised by Berwick, whose advocacy of “patient-centered” health care is traditionally seen as conservative.

Beyond the politics, CMS has not had a full-time leader since 2006, reining in Medicare and Medicaid costs are key to dealing with budget deficits, and Dr. Berwick now has until the end of 2011 to prove himself.

President Bush’s last appointee to head CMS, Kerry Weems, was never confirmed and served as an acting administrator through the end of the Administration. Weems, who had been a career civil servant, is now a senior vice president at Vangent.

By the time Berwick’s recess appointment ends, we should have some idea about whether the Medicare bureaucracy is intractable and whether he really can affect change.

As Maggie Mahar wrote at The Health Care Blog earlier today, “We needed Berwick, in Washington, guiding CMS. Yesterday– or eight years ago.”

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Dana Blankenhorn

Dana Blankenhorn has been a journalist, writer and part-time futurist for over 30 years. At the present moment I run only a personal blog in addition to my ZDNet open source blog. DanaBlankenhorn.Com has the subtitle The War Against Oil. In the past I have used it to write about political history, e-commerce, personal matters, some ideas related to open source, and The World of Always On, which is the idea of using sensors, motes and RFID to turn WiFi links into platforms for applications which live in the air. My IRA account at Schwab holds a few tech shares, most notably some Intel and Applied Materials, but there are no open source companies in it. I don’t even own any CBS stock.

Biography

Dana Blankenhorn

Dana Blankenhorn has been a business journalist since 1978, and has covered technology since 1982. He launched the Interactive Age Daily, the first daily coverage of the Internet to launch with a magazine, in September 1994.

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LegalObserver
DanaBlankenhorn 8th Jul 2010
@LegalObservor Obviously you didn't read the speech from which PoliticalHack took his quote. It was absolutely filled with criticisms of the NHS -- pointed and direct.

Any time there is a recess appointment this kind of criticism is given. The proof of the pudding is in the eating. If Dr. Berwick makes no progress, if his strategy can't be implemented, then you'll get your way. But his record of past accomplishment shows he can succeed, and maybe that is what you most fear.
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RE: President spares Berwick the circus
PoliticalHack 7th Jul 2010
Berwick has said:
"Any health care funding plan that is just equitable civilized and humane must, must redistribute wealth from the richer among us to the poorer and the less fortunate. Excellent health care is by definition redistributional."

How is it humane to destroy liberty? His is a fundamentally tyrannical, collectivist view, and therefore fundamentally anti-American. But it is fully consistent with Obama's own view on sharing the wealth (remember Joe the Plumber?).

Don't be a potlitical hack on a technical website. If you want to discuss the political aspects of technology on this site then you have a duty to be even-handed, not a misleading apologist for one side. Try to be analytical not a parrot of the left (or the right if you bend that way).
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As long as you have a good excuse for stealing such as being "patient centric" then your theft is a good theft to them.
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RE: President spares Berwick the circus
DanaBlankenhorn 8th Jul 2010
@LBiege Please. If taxes are theft, then the Iraq War was theft. What the people through their elected representatives choose to pursue as policy is not theft, it's their (our) choice.

It was that way when the policies were those you favored, and it hasn't changed. If we're to have a democracy, and not a dictatorship of LBiege, then you have to accept the results the democratic process delivers, even if you seek to overturn them. Not call it theft.
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Democracy or Slavery?
LBiege 8th Jul 2010
When you lazy liberals burden a country w/ all these expensive welfare programs, you run the debt up and pass it to the future generations that couldn't vote on your spending to clean it up.

It's not democracy, it's slavery. You liberals are enslaving the grandkids to pay off your bills so that you could sit there doing nothing while enjoying a life you have not earned.

Should we have a time machine to allow the future generations to vote in current elections (it's only fair to have them present as their money are spent by you guys), they would vote the butt off those representatives you like.

A slavery system w/ a democracy skin, that's what it is.
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RE: President spares Berwick the circus
DanaBlankenhorn 8th Jul 2010
@PoliticalHack Either give me a real source for that quote, and the context, or I can't react to it. There is nothing fundamentally tyrannical, collectivist, or liberty-destroying about pursuing the goals Theodore Roosevelt laid out in 1912.

And now that the policy is set, trying to grandstand on the general in charge is like denying Bush his chosen general in Iraq.
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health insurance
kingbasil08 8th Jul 2010
You should be fined for not having insurance because if you have an emergency and go to the emergency room, then you do not have the money for
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Apologies to PoliticalHack
DanaBlankenhorn 8th Jul 2010
The quote PoliticalHack offers above is fundamentally correct. The speech in which it appears has been posted at http://www.kaiserhealthnews.org/Stories/2010/July/07/berwick-british-NHS-speech-transcript.aspx

More on the full speech soon.
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RE: President spares Berwick the circus
LegalObservor 8th Jul 2010
It is outrageous that someone with Dr. Berwick?s long paper trail and expressed support for nationalized health care wasn?t subjected to public hearings. Another good commentary I?ve seen on this is at http://wlflegalpulse.com/2010/07/08/cms-administrator-appointed-will-patient-care-take-a-recess-2/.
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LegalObserver
DanaBlankenhorn 8th Jul 2010
@LegalObservor Obviously you didn't read the speech from which PoliticalHack took his quote. It was absolutely filled with criticisms of the NHS -- pointed and direct.

Any time there is a recess appointment this kind of criticism is given. The proof of the pudding is in the eating. If Dr. Berwick makes no progress, if his strategy can't be implemented, then you'll get your way. But his record of past accomplishment shows he can succeed, and maybe that is what you most fear.

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