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Donald Berwick

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20110130-194309-pic-216347601.jpg

Dr. Donald Berwick, whom President Obama appointed as head of Medicare and Medicaid without Senate hearings, now needs Senate approval. (Associated Press)

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Savings would be wiped out because insurers would increase bids to recoup income, Medicare administrator Donald Berwick said. (Associated Press)

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RECESS APPOINTMENT: Dr. Donald Berwick can serve for a while without a Senate vote or a hearing. (AP Photo)