Obama sidesteps usual procedures in naming new head of Medicare and Medicaid

BMJ 2010; 341 doi: (Published 12 July 2010) Cite this as: BMJ 2010;341:c3731
  1. Bob Roehr
  1. 1Washington, DC

    President Barack Obama has sidestepped the normal Senate confirmation process and named Donald Berwick as administrator of the Centers for Medicare and Medicaid Services (CMS) when the Senate wasn’t sitting. The $800bn (£530bn; €635bn) programmes—Medicare for people aged 65 or over and Medicaid for people on low incomes and some disabled people—provide health insurance for about a third of all Americans.

    Dr Berwick, a paediatrician, is affiliated with Harvard University and is president of the Institute for Healthcare Improvement, a not for profit organisation that works to contain costs and close the gap in the quality of health care in the United States. He is …

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