1/13/10 HC Reform Update by Mark Sanna: Almost a year after taking office, President Obama has not yet nominated anybody to run Medicare. Health reform is not merely a matter of passing a bill, hard as that has been (and may still be); its success will also depend on how that bill is put into action. And the lack of a Medicare nomination suggests that the White House is not giving enough attention to what will happen once Mr. Obama signs a bill.