President Obama promised transparency and improved democratic responsiveness, but has delivered nothing but obfuscation and prevarication in governance, at least when it comes to Obamacare. Few examples more vividly illustrate this anti accountability approach than the sorry history of Donald–it’s going to be a short gig–Berwick as head of Medicare/Medicaid.

First, he was nominated, but the Democrats wouldn't hold hearings, probably afraid that Berwick would be confronted with his pro rationing views.

So, Obama used a recess appointment to get him in the job, thereby subverting the democratic process. True, other president’s have used the RA to get people into office who were being held up in the Senate without an up or down vote...