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Health secretary Kathleen Sebelius quits after botched Obamacare rollout Health secretary Kathleen Sebelius quits after botched Obamacare rollout
(about 11 hours later)
Sebelius,Sebelius,
who oversaw the creation of the Affordable Care Act and has been a who oversaw the creation of the Affordable Care Act and has been a
lightning rod for criticism over its bungled rollout, will formally makelightning rod for criticism over its bungled rollout, will formally make
the announcement on Friday. the announcement on Friday.
HerHer
departure comes less than seven months before the midterm elections, in departure comes less than seven months before the midterm elections, in
which Democrats across the country fear they will be punished at the which Democrats across the country fear they will be punished at the
polls over the introduction of the healthcare law, known as Obamacare.polls over the introduction of the healthcare law, known as Obamacare.
AA
White House official told the Guardian that Obama would announce White House official told the Guardian that Obama would announce
Sebelius’s departure at 11am on Friday. The announcement will be made in theSebelius’s departure at 11am on Friday. The announcement will be made in the
Rose Garden of the White House. Obama, standing beside his vice president Joe Biden, will announce his nomination for her replacement is Sylvia Mathews Burwell. Rose Garden of the White House. Obama, standing beside his vice president Joe Biden, will announce his nomination for her replacement is Sylvia Mathews Burwell.
Burwell has been director of White House’s Office of Management and Budget since April. She was unaminmously confirmed in that post by Congress, a sign that Obama hopes to avoid a protracted and bruising confirmation process.Burwell has been director of White House’s Office of Management and Budget since April. She was unaminmously confirmed in that post by Congress, a sign that Obama hopes to avoid a protracted and bruising confirmation process.
“Secretary“Secretary
Sebelius notified the president in early March of her decision,” said Sebelius notified the president in early March of her decision,” said
the White House official, who was not authorised to speak on the record.the White House official, who was not authorised to speak on the record.
“At “At
that time, secretary Sebelius told the president that she felt that time, secretary Sebelius told the president that she felt
confident in the trajectory for enrollment and implementation of the confident in the trajectory for enrollment and implementation of the
Affordable Care Act, and that she believed that once open enrollment Affordable Care Act, and that she believed that once open enrollment
ended it would be the right time to transition the department to new ended it would be the right time to transition the department to new
leadership.”leadership.”
The official added: “The president is deeply grateful for her service.”The official added: “The president is deeply grateful for her service.”
TheThe
White House will hope Sebelius’s departure will bring to an end one of White House will hope Sebelius’s departure will bring to an end one of
the rockiest chapters of Obama's presidency, which began in October the rockiest chapters of Obama's presidency, which began in October
after the federal healthcare website – a crucial portal on which people could after the federal healthcare website – a crucial portal on which people could
sign up for health insurance – was beset by technical issues.sign up for health insurance – was beset by technical issues.
MillionsMillions
of people were unable to access the site, amid crashes and glitches, of people were unable to access the site, amid crashes and glitches,
and at periods it seems the fiasco would derail the entire healthcare and at periods it seems the fiasco would derail the entire healthcare
law.law.
RepublicansRepublicans
pounced on the bungled rollout of the federal law, which also led to pounced on the bungled rollout of the federal law, which also led to
some Americans losing their insurance plans, despite being promised by some Americans losing their insurance plans, despite being promised by
Obama they could keep their existing arrangements.Obama they could keep their existing arrangements.
SebeliusSebelius
has been health and human services secretary since 2009, and her role has been health and human services secretary since 2009, and her role
as a chief architect of Obamacare, a hugely complex piece of as a chief architect of Obamacare, a hugely complex piece of
legislation, was instrumental in the decision to keep her in post, even after the website failures.legislation, was instrumental in the decision to keep her in post, even after the website failures.
The Senate minority leader Mitch McConnell welcomed Sebelius' resignation but appeared to indicate an willingness to open dialogue with Burwell even as he declared that "Obamacare has to go."
"I hope this is the start of a candid conversation about Obamacare's shortcomings and the need to protect Medicare," said McConnell, a Kentucky Republican.
TheThe
timing of her departure appears to have been carefully orchestrated to timing of her departure appears to have been carefully orchestrated to
capitalise on the unexpectedly high numbers of people who enrolled on capitalise on the unexpectedly high numbers of people who enrolled on
for new healthcare plans before the deadline drew to a close last week.for new healthcare plans before the deadline drew to a close last week.
ContraryContrary
to early fears that the stuttering website and disastrous press to early fears that the stuttering website and disastrous press
coverage would lead to insufficient numbers of uninsured people signing coverage would lead to insufficient numbers of uninsured people signing
up to under the new healthcare exchanges, Obama announced earlier this up to under the new healthcare exchanges, Obama announced earlier this
month that more than 7 million people had enlisted. The figure was month that more than 7 million people had enlisted. The figure was
higher than expected, providing a much need boost to Obama’s flagging higher than expected, providing a much need boost to Obama’s flagging
presidency. The White House is desperate to press home the impression it has turned a corner in the healthcare debate.presidency. The White House is desperate to press home the impression it has turned a corner in the healthcare debate.
AA
former governor of Kansas, Sebelius is one of Obama’s longest-serving former governor of Kansas, Sebelius is one of Obama’s longest-serving
cabinet members, although their relationship has been strained by cabinet members, although their relationship has been strained by
the flawed rollout of the healthcare law which, despite recent the flawed rollout of the healthcare law which, despite recent
improvements, will leave an indelible mark on his second term in the improvements, will leave an indelible mark on his second term in the
White House.White House.
HoursHours
before the announcement of her departure was leaked on Thursday, before the announcement of her departure was leaked on Thursday,
Sebelius appeared on Capitol Hill, where has Sebelius appeared on Capitol Hill, where has
routinely been hauled before Senate and House committees for a grilling. Sheroutinely been hauled before Senate and House committees for a grilling. She
made no mention of her intention to stand down when she appeared before made no mention of her intention to stand down when she appeared before
the Senate finance committee. Instead, she announced 400,000 more the Senate finance committee. Instead, she announced 400,000 more
people had enrolled for healthcare under the new law than first people had enrolled for healthcare under the new law than first
reported, taking the total tally to 7.5 million.reported, taking the total tally to 7.5 million.
TheThe
additional figures were accounted for by a decision by Sebelius to additional figures were accounted for by a decision by Sebelius to
allow extend the deadline individuals who have had trouble signing up allow extend the deadline individuals who have had trouble signing up
for plans, from 31 March until 15 April. It was one of several deadline for plans, from 31 March until 15 April. It was one of several deadline
extensions and last-minute changes introduced by the administration extensions and last-minute changes introduced by the administration
in recent months to keep Obamacare afloat.in recent months to keep Obamacare afloat.
TheThe
administration has not said how many of those who have already signed administration has not said how many of those who have already signed
up for insurance closed the deal by paying their first month’s premiums.up for insurance closed the deal by paying their first month’s premiums.
Neither have Sebelius or other senior officials said how many people Neither have Sebelius or other senior officials said how many people
lost their plans because their did not meet the requirements of the ACA.lost their plans because their did not meet the requirements of the ACA.
DespiteDespite
repeatedly being pressed by senators to shed more light on the figures, repeatedly being pressed by senators to shed more light on the figures,
Sebelius resisted the questioning and – much as she has over the last Sebelius resisted the questioning and – much as she has over the last
five months – absorbed the heat on behalf of the administration.five months – absorbed the heat on behalf of the administration.
House minority leader Nancy Pelosi, a staunch supporter of the health care law, praised Sebelius as a "forceful, effective and essential" member of the administration. "Secretary Sebelius was a leader in the long effort to make history for our country with passage of the Affordable Care Act," the California Democrat said in a statement.
ByBy
appointing Burwell as her replacement, Obama has opted for an official appointing Burwell as her replacement, Obama has opted for an official
that has not been too closely associated with the creation of Obamacare,that has not been too closely associated with the creation of Obamacare,
although she has had a front-row seat druing rollout fiasco in her role although she has had a front-row seat druing rollout fiasco in her role
at the OMB. Previous at the OMB. Previous
to her administration post, Burwell ran the Bill and Melinda Gates to her administration post, Burwell ran the Bill and Melinda Gates
Foundation, and a shorter stint as president of the Walmart Foundation.Foundation, and a shorter stint as president of the Walmart Foundation.
SheShe
was unanimously confirmed by the Senate to run the government’s crucial was unanimously confirmed by the Senate to run the government’s crucial
budget department less than a year ago, potentially making it more budget department less than a year ago, potentially making it more
difficult for Republicans to object to her appointment. Still,difficult for Republicans to object to her appointment. Still,
her confirmation process is likely to be fraught, with Republicans, who her confirmation process is likely to be fraught, with Republicans, who
advocate entirely repealing Obama’s healthcare law, determined to advocate entirely repealing Obama’s healthcare law, determined to
punish the president and his party over the flawed rollout of the law.punish the president and his party over the flawed rollout of the law.
“The president sought a nominee with strong credentials in management, “The president sought a nominee with strong credentials in management,
implementation, and performance for this important role,” the White implementation, and performance for this important role,” the White
House official said, adding that Burwell has “a record of building House official said, adding that Burwell has “a record of building
bipartisan consensus to get things done”.bipartisan consensus to get things done”.
AroundAround
50 million Americans lacked health care coverage before the 50 million Americans lacked health care coverage before the
introduction of Obama’s divisive healthcare reforms. The law’s passage introduction of Obama’s divisive healthcare reforms. The law’s passage
in 2010, and withstanding of a Supreme Court challenge and the 2012 in 2010, and withstanding of a Supreme Court challenge and the 2012
presidential election, make it the single most important domestic legacypresidential election, make it the single most important domestic legacy
of Obama’s presidency. of Obama’s presidency.