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Kathleen Sebelius

Testing will come quickly as Kathleen Sebelius teams with Obama

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BY DAVID GOLDSTEIN

Eagle Washington bureau

WHAT DO YOU THINK?

What do you think about the prospect of Gov. Kathleen Sebelius heading national health-care reform?


- Kansas Gov. Kathleen Sebelius will face her first test later this week after agreeing Monday to help lead President Obama's effort to overhaul health care.

She will be under the spotlight Thursday when the White House holds a health care summit with representatives from the insurance and pharmaceutical industries, medicine and public health, as well as both political parties.

"It's a crisis punishing families, battering businesses, squeezing our states, and, increasingly, imperiling our own budget," Obama said Monday when he introduced Sebelius as his choice to run the massive Department of Health and Human Services.

Amid the gilded elegance of the White House East Room, Sebelius said that his request was "a responsibility I could not refuse. I am deeply honored by your faith in me, Mr. President."

She will have the task of reforming a system whose costs in recent years have risen four times faster than incomes and left millions without health insurance.

Obama said that Sebelius "knows health care inside and out" and has "been on the front lines of our health care crisis.

"Kathleen has remarkable intellect, unquestioned integrity and the kind of pragmatic wisdom you'll tend to find in a Kansan."

That drew some silent chuckles from two Republican guests at the ceremony: former Sen. Bob Dole and current Sen. Pat Roberts.

"People in Kansas, we stick together," said Obama, whose mother and grandparents were from the state. "And I've got my own Kansas roots."

Kansas' other senator, Republican Sam Brownback, didn't attend. Spokesman Brian Hart said that he had previous commitments.

The presence of Dole and Roberts was another example of

the White House quest for bipartisanship as it attempts another huge and expensive shake-up of the status quo.

Obama said he hoped that the Republican guests were "a symbol of how we can move this issue forward. I don't think anybody has a silver bullet when it comes to health care."

Indeed, Roberts has raised questions about the $634 billion for health care in Obama's budget. In a statement Monday, however, Roberts spokeswoman Molly Haase said, "He has always said they will work together where they agree and have a discussion and dialogue where they disagree."

Sebelius, 60, is in the middle of her second term. She became a rising star in the Democratic Party by showing that it was possible to win in a Republican state. An early Obama ally, she was on his short list for vice president.

Sebelius won't handle health care reform alone. Obama used the occasion to also introduce Nancy-Ann DeParle, who will head the White House Office for Health Reform.

She was a health care official at the Office of Management and Budget during the Clinton administration and also director of the agency that ran Medicare and Medicaid at the time.

DeParle's role, however, on several corporate boards of companies involved in health technology and pharmaceuticals has raised questions about possible conflicts of interest with her new position.

A White House spokesman said that DeParle would step down from her corporate posts and would recuse herself from future discussions that could involve her corporate work.

DeParle's White House role had been a position that former Sen. Tom Daschle of South Dakota -- Obama's first choice for HHS -- was supposed to fill as well. The job appeared to be tailored for him because of his experience and longtime alliances on Capitol Hill, where Obama's health reform agenda is likely to face obstacles.

Political pressure forced Daschle to withdraw, however, after he disclosed that he failed to pay $140,000 in taxes and interest.

Sebelius, for all the praise coming her way because of her efforts on health care as governor and Kansas insurance commissioner, doesn't know Capitol Hill well.

Moreover, if confirmed by the Senate, she will be juggling numerous concerns. Improving food safety and emergency preparedness are just two at the top of the next HHS secretary's to-do list.

"She's got major challenges in front of her well beyond health reform," said Jeffrey Levi, executive director of the Trust for America's Health, a nonprofit, nonpartisan health care research and advocacy group.

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