President to Fill Medicare and Medicaid Post Without Senate Approval

WASHINGTON -- President Obama intends to bypass Congress and appoint Dr. Donald Berwick to head Medicare and Medicaid, the White House announced Tuesday -- filling the job while Congress is in recess to get around Republican opposition that threatened to derail Berwick's confirmation.

Berwick's supporters say he is the right man in the right place at the right time. But his opponents have lined up against him. They say that while he may be a the highly respected doctor, he is also an outspoken proponent of the British health care system, which they say is all wrong for Americans.

"This recess appointment is an insult to the American people," Sen. John Barrasso, R-Wyo., said Tuesday night. "Dr. Berwick is a self-professed supporter of rationing health care, and he won't even have to explain his views to the American people in a Congressional hearing."

Berwick, a 63-year-old pediatrician, heads the Institute for Health Care Improvement in Cambridge, Mass., and he has been a longtime leader of the movement to reform health care from within. For decades he has challenged doctors and hospitals to provide health care that “is safe, effective, patient-oriented, timely, efficient and equitable,â€