Tuesday, April 28, 2009
UPDATE: HHS
60 here we go
The Political Impact of The Loss of Daschle
With the outbreak of Swine Flu, the public's attention has been somewhat refocused back on the United States' health services. If you have been watching carefully, you might think it odd that the government's position on containing the spread of the Swine Flu has come predominantly from Janet Napolitano (DHS). While the CDC has issued statements and held a few press conferences, the person providing the message is not the director of the CDC. For those that do not know, the CDC is not part of DHS, but is located inside the cabinet department of Health and Human Services (HHS).
A natural question may be why is the director of DHS fielding questions on Swine Flu and not the director of HHS? The reason is that there currently is no director of HHS. Furthermore, there is no director of the CDC either. Both of these positions have remained vacant as a result of Tom Daschle having withdrawn his name (due to tax issues) to be the next head of HHS and Health Czar for the Obama administration.
As candidate Obama moved to president-elect Obama, one of the first confirmed nominations that he would propose was Daschle to HHS. This was not a surprise given the amount of campaigning Daschle had done on behalf of Obama, as well as massive amounts of advising that Daschle provided the Obama campaign on health care reform. The problem that arose is that once it was clear that Daschle's tax issues would make it impossible for him to be confirmed without a serious fight from Republicans, and that even if confirmed he would enter a critical position with very little political capital, the Obama administration had no back-up plan. Given the economic turmoil, the administration chose to focus its resources on the confirmation of Timothy Geithner and passing the stimulus package; the result of which was that filling the top post at HHS was pushed into the background.
Currently, Kansas governor Kathleen Sebeluis is the Obama administration's choice to lead HHS. She has been approved by the Senate committee, but only after a drawn-out set of hearings over her qualifications to head HHS. She has not yet been confirmed by the full Senate. Thus, HHS continues without its top job filled.
The effect of this, however, is not limited to just HHS HQ. Many top positions within HHS and its associated agencies (CDC for example) remain unfilled as the director of HHS is typically given discretion to fill these spots in order to create his/her health team. Beyond the lack of filling key positions within the HHS community, the lack of a champion/leader at HHS for health care reform has pushed this issue somewhat into the background. While the administration has made it clear that it will attempt heath care reform soon, there is no question that the failed nomination of Daschle has, at the very least, resulted in false start on health care reform and, at worse, dealt it a deadly blow by not allowing it to proceed during Obama's honeymoon period.
It is important to note that blame on this issue firmly rests on both sides of the aisle. For Democrats, blame rests in not conducting a proper vetting of Daschle and for not having a ready-to-go back-up in case his nomination failed. For Republicans, the continual use of senatorial holds and procedural blocking motions has prevented Sebelius from having a timely nomination procedure and instead has resulted in an unnecessary drawn-out process leaving important posts in HHS vacant.
While the blame on both sides can be justified, it would appear -- given the current health crisis and the need for health care reform -- that the failed Daschle nomination cost the Obama administration more than it has publicly admitted. However, the question now becomes whether both sides will stick to their past mistakes, or recognize that today's needs require that HHS have a director and try to find common ground so that Sebelius can be confirmed.



