90.9 WBUR - Boston's NPR news station
Top Stories:
PLEDGE NOW
Former Medicare Chief Donald Berwick Speaks

Dr. Donald Berwick hit the buzzsaw of American politics as short-time chief of Medicare. Now, he’s out, and talking.

Medicare Administrator Dr. Donald Berwick gestures during an interview with The Associated Press, Tuesday, April 12, 2011, in Washington. (AP)

Medicare Administrator Dr. Donald Berwick gestures during an interview with The Associated Press, Tuesday, April 12, 2011, in Washington. (AP)

Dr. Donald Berwick has spent his life working to make American health care cheaper and better. Then he went to Washington, and ran into the buzz saw of American health care politics.

Barack Obama appointed Berwick chief of all Medicare and Medicare, health care providers for one out of every three Americans. The giant item in the federal budget. But it was a recess appointment. It needed the Senate’s stamp of approval. Senate Republicans would not give it.

Now, after seventeen months, he’s out.

This hour, On Point: Donald Berwick on American health, health care, and buzz saw politics.

-Tom Ashbrook

Guests

Dr. Donald Berwick, administrator, until last Thursday, of the Centers for Medicare & Medicaid Services (CMS), which provides healthcare for 100 million Americans. Former President and Chief Executive Officer of the Institute for Healthcare Improvement, a not-for-profit organization focused on healthcare improvement

Highlights

Despite stepping down as chief of America’s Medicare and Medicaid programs, Dr. Donald Berwick said it is a “thrilling time in health care.” And he said now is the time for change:

“On the one hand I do think we can buckle down as a country and get health care to perform the way we all want it to with dignity, reliability and safety,” Berwick said. “The problem is that a lot of people don’t understand that possibility. They don’t understand that health care can get a lot better.”

Berwick says that he was interested in the ways that corporations remain competitive and noted that “constant innovation is the root of making things better and more affordable and that is true of health care.”

He explained that his departure from Washington was due to the absence of “authentic dialogue’ about what is needed and what is possible. “Everything has been reduced to sound bites and rhetoric,” Berwick said. “It was really hard to engage as I would have wanted to engage with some people who have some skepticism about the law about what the possibilities are.”

On the question of redistribution of wealth and health care benefits, Berwick explained that “insurance is redistribution.”

“It is simply a fact that illness and poverty go together. Wealth and health are inversely related,” Berwick said. “If we want to become a country in which if you get ill you get care then we saying that those of us who have more because we are healthier are going to help those of us who have less because we are not going to need the help of others. That is really the moral question for the country: do we help each other with our health.”

From Tom’s Reading List

The New York Times “Mr. Obama first nominated Dr. Berwick in April 2010, but he never received a Senate confirmation hearing. More than 40 Senate Republicans urged the White House to withdraw the nomination last spring, and many vowed to block confirmation.”

Healthaffairs.org “As he ticked off to his aides the various stakeholder groups he wanted to check with that day, he was startled when one informed him that Libyan dictator Muammar Gaddafi had just been reported killed. He and his press officer safely predicted that this stunning news undoubtedly would trump the ACO announcement.”

Washington Post “It’s a rare moment in an increasingly polarized Washington: One of the highest ranking Republicans endorsing the bureaucrat that the Obama administration hopes will oversee implementation of its health care law. But when we spoke this morning, House Majority Leader Eric Cantor was resolute in his support for Marilyn Tavenner, the woman the White House hopes will oversee the Center for Medicare and Medicaid Services.”

Please follow our community rules when engaging in comment discussion on this site.
ONPOINT
TODAY
Nov 25, 2014
A protester squirts lighter fluid on a police car as the car windows are shuttered near the Ferguson Police Department after the announcement of the grand jury decision not to indict police officer Darren Wilson in the fatal shooting of Michael Brown, an unarmed black 18-year-old, Monday, Nov. 24, 2014, in Ferguson, Mo. (AP)

Grand Jury decision out of Ferguson — no indictment. We’re on the ground with the latest details and reaction.

Nov 25, 2014
A 40-pound tom turkey looks out at Raymond's Turkey Farm in Methuen, Mass., Friday, Nov. 21, 2014. The farm raises approximately 20,000 Broad Breasted White Holland turkeys per year. (AP)

We’ll talk turkey and all the sides. Top chefs join us to answer your Thanksgiving questions.

RECENT
SHOWS
Nov 24, 2014
Homeless people stay with their belongings under the Pontchartrain Expressway overpass in New Orleans, Wednesday, Aug. 13, 2014. The city’s health department put up notices Monday giving the estimated 150 homeless people 72 hours to leave the area. (AP)

Smashing the assumptions about what it’s really like to live in poverty in America.

 
Nov 24, 2014
In this photo taken Wednesday, July 30, 2014, Silicon Valley pioneer and Silent Circle co-founder Jon Callas holds up Blackphone with encryption apps displayed on it at the Computer History Museum in Mountain View, Calif.  (AP)

We’ll look at privacy, security, and the battle heating up between intelligence agencies and tech companies that are moving to encrypt your communication.

On Point Blog
On Point Blog
Last-Minute Thanksgiving Luxury
Tuesday, Nov 25, 2014

Our three Thanksgiving chefs offer up their best bets for delicious, last-minute holiday helpers, including a crunchy celery salad and maple glazed carrots.

More »
Comment
 
Calling All Interns, Calling All Interns
Monday, Nov 24, 2014

Have you ever thought about interning with On Point Radio? Good news: your time is now!

More »
Comment
 
The Explicast, Episode Six: What Does A White House Press Correspondent Do?
Friday, Nov 21, 2014

We turn to White House Press Correspondents all the time for news, but we’ve never really wondered how they gather their information. Fortunately, our guest host Jessica Yellin had time to sit down with The Explicast to explain.

More »
Comment