China and its Discontents

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Senate Republicans Cry Over Donald Berwick

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Per Politico this morning, Senate Republicans are planning to obstruct the nomination of Donald Berwick to be Administrator of the Centers for Medicare & Medicaid Services over Berwick’s previous statements in favor of Britain’s National Health Service (NHS).

“He is, as far as I am concerned, bad news,” said Texas Sen. John Cornyn, chairman of the National Republican Senatorial Committee. “If he wants to turn America into the National Health Service in England — he thinks that is the model — he is going to find a lot of pushback.”

But what exactly are they opposing him for? What policies does he intend to pursue that the Republican caucus can’t support? The Politico article never makes it clear what Senate Republicans are actually against, beyond the amorphous bogeyman of the NHS. Berwick is clear, however, what he supports: “universal coverage, ‘centralized stewardship’ and guaranteed care regardless of income.” All of these things are goals of the Patient Protection and Affordable Care Act. I can’t tell whether the Politico article is not accurately representing Senate Republicans or whether Senate Republicans are simply making up excuses to obstruct. My guess is the latter.