Dr. Don Berwick will now head the Centers for Medicare and Medicaid without Senate confirmation, or even a single hearing, after Obama’s recess appointment. “The recess appointment was somewhat unusual because the Senate is in recess for less than two weeks and senators were still waiting for Dr. Berwick to submit responses to some of their requests for information. No confirmation hearing has been held or scheduled.” Berwick would have had to face tough questions about his views on rationing and his support for the British socialized health system, which would have been difficult since ObamaCare was guaranteed to not limit Medicare benefits.