HC Reform Update by Mark Sanna: Two weeks after taking office, Dr. Donald Berwick the new chief of CMS is struggling to tamp down a furor over past statements in which he discussed the rationing of health care and expressed affection for the British health care system. He is finding his ability to do his job clouded by the circumstances of his appointment, with many Republicans in open revolt over President Obama’s decision to place him in the post without a Senate confirmation vote.