If Don Berwick’s first appearance before a hostile congressional committee is any indication, there is no way the Medicare/Medicaid chief will ever earn the support of enough Republicans to be confirmed by the U.S. Senate.
Berwick, installed via recess appointment last July, gave testimony and took questions from members of the GOP-controlled House Ways & Means committee on Thursday. It was his second trip to the hill; a few months ago, he took questions from members of the Senate Finance Committee, where Democrats are in the majority. Thursday’s hearing was contentious from the very first lines of inquiry from new Chairman Rep. Dave Camp. Is Britain’s National Health Service (NHS) – a single payer system with a reputation for rationing – a good model for the U.S.? Is Berwick still “in love” with the NHS, as he has said in the past? Is competition in health care a bad thing?
Berwick answered none of these questions directly. While he may be an innovative health care policy wonk, there was nothing innovative about his strategy for getting through Thursday’s hearing.




