The White House announced late Tuesday that President Barack Obama will use a recess appointment to make Donald Berwick administrator of the Centers for Medicare and Medicaid Services, angering Republicans who had opposed his nomination, Politico reports. A Harvard professor and pediatrician, Berwick has won endorsements from most major medical societies. But his nomination has drawn vicious criticism from Republicans, who have seized on his professed admiration for Britain’s National Health Service as an “example” for the United States to follow. The move fans flames of an already heated battle over Berwick’s nomination, with advocates and opponents vying to frame the new CMS leader as, alternatively, an innovative health care leader or dangerous advocate of rationing.

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