The Wonk Room

Anyone But Bredesen? The Leading HHS Candidates

bredesen.jpg

Since former senator Tom Daschle withdrew his nomination for Health and Human Services Secretary on Tuesday, the internet has been buzzing with rumors of his potential replacement. Progressives are particularly weary of Phil Bredesen, a second-term Governor of Tennessee who may be “one of the top contenders for the job.”

As Jonathan Cohn explains, Bredesen “presided over massive cuts to Tennessee’s Medicaid program and, by all appearances, relished fighting with advocates for the poor more than the advocates of the cuts.” “I can’t overstate the opposition his nomination would engender in the health advocacy community,” writes Ezra Klein, before noting that in 2005 Bredesen’s wife accepted donations for the renovation of the governor’s mansion from Blue Cross/Blue Shield of Tennessee.

Since Bredesen’s vision for health reform contradict Obama’s health principles, ThinkProgress has compiled a list of alternative nominees.

Gov. Kathleen Sebelius (D-KS)

The Red State Reformer
kathleen_sebelius.jpg
PRO: As Insurance Commissioner, Sebelius rejected an Indiana company’s bid to gobble up the biggest health insurer in Kansas. As Governor, Sebelius tried to provide health coverage to children under 5 and enacted legislation allowing residents to purchase prescription drugs from Europe and Canada.

CON: Despite her health background and close relationship with Obama, Sebelius doesn’t know Washington.

Rep. Rosa DeLauro (D-CT)

The Appropriator

PRO: From her seat on the Labor, Health, and Human Services-Education Appropriations Subcommittee, DeLauro increased funding for all kinds of medical research and has worked aggressively to lower the rising costs of prescription drugs, pushing the 108th Congress to adopt legislation allowing for drug importation.

CON: As an appropriator, DeLauro has experience funding initiatives but may have little knowledge of how the different parts of the health system interact.

Rep. Jan Schakowsky (D-IL)

The Public Plan Pioneer
schakowsky.jpg
PRO: Congresswoman Schakowsky describes her approach to health care as a kind of beefed up “Medicare for all” system. She strongly supports building a public health care plan and has said that public funding will be the most efficient way to finance a health care system.

CON: Schakowsky could be caricatured as a single-payer advocate and may face stiff Republican opposition during confirmation.

Sen. Ron Wyden (D-OR)

The Abolisher
ronwyden.jpg
PRO: Wyden has been a persistent advocate of health care and has the right connections to make reform happen. He has introduced bipartisan legislation that abolishes the employer health system and requires employers who had covered their employees to convert the total they spent on insurance into salary increases, allowing workers to purchase coverage on their own.

CON: Wyden’s plan contradicts Obama’s health principles and would likely outrage some health advocates.

Sen. Debbie Stabenow (D-MI)

The Social Worker

PRO: Stabenow sits on the Senate Finance Committee, where she played a major role in the crafting the SCHIP expansion legislation.The National Organization for Women endorsed Stabenow for the HHS position, highlighting her background as a social worker and her strong support for drug importation from Canada.

CON: Tapping Stabenow would remove a strong health care advocate from the all-important Senate Finance Committee.

Former Sen. Gordon Smith (R-OR)

The Wannabe
gordonsmith.jpg
PRO: Smith seems to have some genuine bipartisan leanings. During the election, Smith tried to capitalize on Obama’s popularity by including the President in campaign ads, and went so far as to endorse Sen. Ron Wyden’s (D-OR) controversial health care plan. Smith would lend credibility to Obama’s campaign pledge to build a bipartisan cabinet.

CON: Smith has a poor voting record on health care issues and has twice voted against allowing Medicare to negotiate drug prices. Smith’s sudden embrace of universal coverage came in the midst of a close re-election campaign and may be suspect.

Jacob “Jack” Lew

The Budget Man
lew_190.jpg
PRO: As a former Director of the Office of Management and Budget under President Clinton, Lew has intimate knowledge of the substance of federal programs, the budget process and appropriations. Lew drafted parts of Clinton’s health care reform legislation and is respected by members of both parties.

CON: Lew’s work at Citigroup could provide ammunition for a confirmation hearing. He is also currently serving as Deputy Secretary of State.

David Cutler

The Policy Wonk
cutler.jpg
PRO: Cutler helped draft the Clinton’s health plan and was an architects of Obama’s health proposal. In fact, he has already been tapped to advise the President on health policy.

CON: Cutler left Washington in 1994 to return to his full time duties at Harvard University. While he has previously advised former Democratic presidential nominees John Kerry and Bill Bradley, he may lack Hill connections.

Judy Feder

The Health Reformer
judy-feder.jpg
PRO: Feder is widely credited with setting the stage for the health reform debate of the 1990s and has worked to expand health insurance coverage as an HHS appointee. Feder is a Professor of Public Policy at Georgetown University and recently ran for Congress in Virginia’s 10th District.

CON: Despite her bona fide policy expertise, Feder is relatively unknown outside of Washington.

Elizabeth Edwards

The Health Blogger

PRO: As a leading spokesperson for health care reform, Edwards has been particularly critical of policies that unfairly penalize Americans for preexisting conditions. Edwards is an effective communicator, a Wonk Room blogger, and is beloved by health advocates.

CON: Edwards is battling incurable cancer. She has also criticized Obama’s health care plan for not including an individual mandate.

Donna Shalala

The Bureaucrat
shalalaportraithires.jpg
PRO: As Clinton’s Secretary of Health and Human Services, Shalala played an integral role in launching the State Children’s Health Insurance Program.

CON: Shalala did not play a major role in policy deliberations or build significant Congressional relationships during her eight years as Secretary in the Clinton Administration.

Update A number of readers have added Howard Dean to the list. And while I'm impressed by the Governor's health care accomplishments in Vermont, his presidential campaign and his tenure as chairman of the DNC, I intentionally omitted Dean because I do not think that he's on Obama's short list. The reason is this: Dean has few allies in the Obama camp. As Obama's transition head and CAPAF CEO John Podesta pointed out, Rahm Emanuel "was never negative about Dean, I wouldn't characterize it as the other way, either." Jonathan Cohn agrees with me.





30 Responses to “Anyone But Bredesen? The Leading HHS Candidates”

  1. jeff farias Says:

    HOWARD DEAN


  2. Louise Says:

    Howard Dean. Why isn’t he on this list? Please explain.


  3. Eric Says:

    Hi Jeff! :)

    I second his motion. Gov. Dean


  4. Erik Says:

    Howard Dean!!!!!!!!!!!!!!!!!!!!!


  5. Chris Says:

    Howard Dean!!!


  6. K Says:

    Holy crap! This is the best we can do?

    (And, for those of you advocating for Howard Dean: Get real. Please.)


  7. Deebaser Says:

    Is Obama taking Resumés? I’ve worked in every possible facet of the Health Insurance Industry and only left because I felt my soul dying.

    I could lower every Americans health insurance premiums with 3 paragraphs worth of legislation.


  8. JasonInSanDiego Says:

    And don’t forget about Dr. and former Governor of Oregon John Kitzhaber, who instituted The Oregon Health Plan (The Oregon Health Plan (OHP) provides health care coverage to low-income Oregonians through programs administered by the Division of Medical Assistance Programs (DMAP). Currently, more than 380,000 people each month receive health care coverage through the Oregon Health Plan).



  9. Brad Says:

    Dr. Howard Dean!


  10. bridget Says:

    Ron Wyden is a good man. I’d be glad to see him in this position.


  11. wendy cano Says:

    HOWARD DEAN HANDS DOWN


  12. stateofthedivision Says:

    Donna Shalala

    BOARD OF DIRECTORS MEMBERSHIPS
    2001-Present
    Former Director and Member of Public Responsibility Committee
    Unitedhealth Group, Inc.

    2001-Present
    Director, Member of Digital Technology Committee and Member of Nominating & Public Responsibility Committee
    Gannett Co., Inc.

    2001-Present
    Independent Director, Chairman of Nominating & Corporate Governance Committee and Member of Independent Directors Committee
    Lennar Corp.

    Trustee
    Henry J. Kaiser Family Foundation

    Director
    Michael J. Fox Foundation for Parkinson’s Research

    Director Emeritus
    Children’s Defense Fund

    Member of Advisory Board
    The Maxwell School of Syracuse University


  13. Donna Says:

    Edwards


  14. Jason Says:

    Jim Jeffords, former US Senator from VT. He’s an independent, former GOP, and he’s knowledgeable on healthcare…


  15. noonan Says:

    K:
    What’s wrong with Dean? Do you think there is no way he’d be approved by the Senate, or do you have a problem with his credentials?


  16. Paul Hofmann Says:

    Dr. Howard Dean!


  17. woods Says:

    Dr. Howard Dean


  18. Bob D. Says:

    Jan Schakowski would be my pick. she’s for HR676. the other’s might be just as good. it’s my own ignorance that i am not as familiar with their views on the health care of our nation.


  19. jps Says:

    Ezra Klein, Don McCanne and/or Quentin Young, or Howard Dean


  20. jps Says:

    Oh, and I’ll certainly second anyone who’s for H.R. 676, which happens to be the reform bill with the most cosponsors.


  21. .CKH Says:

    Dr. Howard Dean would be an outstanding choice.


  22. Hit_Escape Says:

    I suspect your analysis of why Dean would not be considered is probably spot-on. In this administration, “Team of Rivals” means Republicans who crap on you, not Democrats with alternative (better) ideas.

    I still can’t believe how Dean has been ignored after delivering the last two election cycles for all Democrat’s benefit. Positively shameful.


  23. Lou Mains Says:

    Let’s not forget there is a fine pro-single payer possibility in Congressman Jim McDermott of WA State. He has public health experience, is a psychiatrist, and has been in Washington for a number of years.

    In my opinion, he would be a great candidate, along with Dean.


  24. rw Says:

    howard dean is not a progressive when it comes to healthcare, he is not supportive a shift of the health paradigm to support wellness, he is a classic allopath who treats disease with drugs and thinks wellness is getting a flu shot and a mammogram, he is a poor choice


  25. ya Says:

    What about John Podesta??


  26. D'Army Bailey Says:

    You will find the article below of interest as the President reportedly is considering naming Tennessee Governor Phil Bredesen to his cabinet.

    D’Army Bailey

    By: Attorney Walter L. Bailey,
    Memphis
    July 9, 2007

    Governor Phil Bredesen’s establishment of an all white Tennessee Supreme
    Court, coupled with his delay of more than a year in rendering a decision,
    still has me disconcerted. Many others have shared with me their
    bewilderment as well. We all thought and hoped that Circuit Court Judge
    D’Army Bailey, as one of the finalist, surely would be appointed. The
    conventional wisdom was that he was a most capable jurist, having received
    his law degree from Yale University and being licensed in both Tennessee
    and California. He enjoyed immense popular support in his bids for
    election, in 1990, and reelection, in 1998, to the Circuit Court bench.
    His name is a mark of pride among most African-Americans and many whites
    not only in Memphis, but in some national circles. The Judicial Selection
    Commission is comprised of a cross-section of distinguished lawyers and
    citizens from across the state and is very dedicated to picking the best
    candidates for recommendation. It is an ideal peer evaluation process.
    This esteemed committee twice recommended Judge Bailey as a candidate. So
    why was Judge Bailey overlooked? Bear with me while I share my thoughts.

    It appears that Governor Bredesen, though not having publicly admitted it,
    has ambitions of being a candidate for the United States Senate, or
    possibly even for President. This is a persistent speculation among some
    of the state’s most noted journals. It also appears that the Governor
    enjoys a great deal of popularity within the Republican Party ranks,
    especially in East Tennessee. He probably felt that though some blacks
    might find an all white Supreme Court objectionable, we are blindly
    Democratic and will support him notwithstanding his contributions in
    guaranteeing an all white court. Therefore, the appointment of Judge
    Koch, a Republican, will garner him significant political support from
    Republicans and among Republican legislators. Some may see this as clever
    political maneuvering; I, however, consider it reprehensible. As an African-American I feel deeply
    betrayed, not because Judge Bailey is my brother, but because the
    Governor’s decision was so regressive for black Tennesseans.

    Between mine and Judge Bailey’s immediate families, five of us are
    lawyers; we are reverential regarding the law. We are strongly and
    passionately committed to diversity at all levels of the legal system.
    Symbolically and practically, diversity must be a priority in ensuring a
    just system of jurisprudence. There are numerous issues that may best be
    resolved when considered from diverse social and philosophical
    perspectives. Indeed, the Governor himself readily acknowledge the
    necessity of diversity on the Court when he called for a more diverse
    panel of candidates from which to choose after Chancellor Richard
    Dinkins’s withdrawal from the first panel nominated by the commission; he
    seemed to ignore that necessity during his subsequent consideration of the
    final slate that he received. Interestingly, his initial call for
    diversity came before the November 2006 gubernatorial election, while his
    final decision came well after.

    Undoubtedly, the Governor’s decision will further retard this state’s
    already all-too-slow progression towards racial equity. It will be
    interesting to see whether the Governor will be forced to answer for his
    insensitivity in this respect. It would be even more of a disappointment
    if his decision stands without opposition or question. There are many
    others who want to see progress for African-Americans stymied. They
    vigorously fight against affirmative action in any form. They fight
    against efforts to integrate our schools and neighborhoods. Yet they deny,
    as I believe the Governor does, that racial problems are not a major
    concern and that it is acceptable to not have any racial minorities on the
    State Supreme Court.


  27. connecticut man1 Says:

    If Obama was serious about having a team of rivals he would pick Conyers, Kucinich OR even Mike Moore. There is where the other side of the health care debate really sits on this issue. It would, also, get single payer advocates (like myself) off of his back and if there were to be a compromise solution it would more likely be an honest compromise between the left and the right.


  28. Dana Says:

    Kucinich is a Catholic and as far as I know he’s in line with the Vatican insofar as their views about women’s reproductive rights. I don’t want someone like that heading HHS. Even if he’s coming out as OK with abortion and contraception these days–and he may be–it may be out of political expediency, wanting the votes, not out of a genuine change of heart.

    Women comprise half this country’s population and female health issues should be at least half the HHS agenda. Any candidate who’s going to pay deserved attention to that is OK by me. Being pro-single-payer is a bonus.

    Not Michael Moore, please. I like him fine as someone who creates documentaries but his appointment, even if there were a chance in hell of it occurring, would drain credibility from the Obama administration. Besides, he has absolutely no political experience.


  29. Sarah Says:

    Howard Dean. Should have been the 1st pick long ago.



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