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
May 25, 2015
New York Times columnist David Brooks explores a history of American moral character in his new book, "The Road to Character." Former US Labor Secretary Frances Perkins (R), is one of the subjects he profiles in his books. (David Burnett / AP)

New York Times columnist David Brooks on finding moral character in a self-preoccupied society.

May 25, 2015
Violinist Regina Carter warms up in the On Point studio on Friday, October 17. (Robin Lubbock / WBUR)

Regina Carter turns her jazz violin down home with her new album “Southern Comfort.”

RECENT
SHOWS
May 22, 2015
The Barden Bellas, the all-female a cappella group at the center of Pitch Perfect 2. (Richard Cartwright/Universal Pictures via AP)

Pitch Perfect 2 is the number one movie in the country, and it’s over the top on a capella.

 
May 22, 2015
Crashed cars with airbags deployed are shown to visitors as part of the display of Toyota Motor Corp.'s safety performance standards at the automaker's exhibition hall in Toyota, central Japan. (Shuji Kajiyama/AP)

ISIS rolls on. A TPP vote. Biggest recall ever – airbags. And Letterman’s last bow. Our weekly news roundtable goes behind the headlines.

On Point Blog
On Point Blog
A Former Bike Gang Member Explains "The Life"
Tuesday, May 19, 2015

Larry called in from Lawrenceburg, KY and told us he was once a member of the Pagan’s Motorcycle Club, a mid-Atlantic biker gang. He didn’t sugar coat the facts as he explained the draw of the brotherhood and what makes the outlaw motorcycle corner the underworld go round.

More »
Comment
 
Our Week In The Web: May 15, 2015
Friday, May 15, 2015

We cancel a few hours and suddenly all of you get convinced of a global radio conspiracy! Plus, dragon zoos.

More »
1 Comment
 
Caller: ‘It Doesn’t Always Turn Out Okay’
Wednesday, May 13, 2015

One caller shares her own story of an extremely premature birth. Her daughter, born at 22 1/2 weeks in 2012, was taken off life support after seven days.

More »
Comment