The Senate was intentionally bypassed and again made irrelevant by President Obama as he used a ploy known as a recess appointment to place Don Berwick as the head of the Centers for Medicare and Medicaid Services.
The appointment is consitutional, but it was not necessary to be done this way - especially with a person as powerful as Berwick could be. If the healthcare bill is not repealed or seriously revised, Berwick is the one who will decide who gets care and who doesn't. He favors rationing and intends to use it.
All Americans, not just the Senators, should be outraged at this tactic. The President seems to run a very tactical game as skirting the checks and balances provided by the Congress.
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