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Doctor was appointed to preclude politics spat

GOP, Democrats slam recess move

President Obama's top political aide said Sunday the White House made a recess appointment of Donald Berwick with an eye to heading off a political fight in the middle of an election campaign, though he denied that the move aimed to keep his views from public airing.

Mr. Obama has come under fierce criticism, including from a key Democratic committee chairman, after he bypassed the Senate and made a recess appointment last week of Harvard professor Donald Berwick to head the Centers for Medicare and Medicaid Services (CMS).

Dr. Berwick's Senate questionnaire wasn't complete and Democrats had not yet scheduled a hearing for the nomination, but presidential adviser David Axelrod said they feared Republican obstruction.

"What we don't want in this midst of an election is to let this be drawn out in a long kind of political circus while the job that needs to be done is not getting done, or not getting done with the man who should be doing it," Mr. Axelrod told ABC's "This Week" program.

The appointment has been criticized by Finance Committee Chairman Max Baucus, Montana Democrat, whose committee had jurisdiction and who said the move denied senators the chance to have their questions asked and answered.

Republicans were harsher still, accusing Mr. Obama of using his powers under the Constitution to short-circuit the Senate's own constitutional duties.

"He believes in rationing of health care. Had his nomination come up during the health care debate, can you imagine the hue and cry that would have occurred?" Sen. Jon Kyl, Arizona Republican, told "Fox News Sunday."

"I think that's why the president delayed making this nomination."

Mr. Berwick's nomination has the support of many in the medical community, including men who ran CMS under President Bush. But Republican senators say they are troubled by statements Dr. Berwick has made that seemed to indicate he thought the government would have to ration care.

Republicans said they believed Mr. Obama made the recess appointment so those statements didn't get a full airing, and Dr. Berwick's views would remain under wraps.

But Mr. Axelrod said Republicans have blocked so many other nominees that the White House didn't want to take a chance with Dr. Berwick, who he said should be on the job to oversee implementation of the new health care law.

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