Tuesday, March 22, 2011

Click here to find out more! Obama administration calls on United Nations to support gay rights

The Obama administration Tuesday called on the U.N. Human Rights Council to fight discrimination against gays and lesbians around the world.

"Human rights are the inalienable right of every person, no matter who they are or who they love," Eileen Chamberlain Donahoe, U.S. ambassador to the council in Geneva, said in a statement. "The U.S. government is firmly committed to supporting the right of lesbian, gay, bisexual and transgender individuals to lead productive and dignified lives, free from fear and violence."

The council has condemned human rights violations based on sexual orientation or gender identity, including rape, torture and murder.

"It is a really pressing issue globally that there continue to be killings on the basis of sexual orientation and persecution on that basis," said Suzanne Nossel, deputy assistant secretary of State for international organization affairs. "I think this will stimulate dialogue and increase recognition of the importance of the issue among governments."

The Obama administration's expression of support for U.N. action on the issue marks a change from George W. Bush's presidency. His administration generally sidestepped the issue in the United Nations.

The statement was the most recent in a series of moves by the Obama administration to show support for gay rights, including holding that the Defense of Marriage Act, which defines marriage as between one man and one woman, was unconstitutional and moving to end the "don't ask, don't tell" policy toward gays in the military.

Last weekend, in a statement with Brazilian President Dilma Rousseff, President Obama announced the creation of a government position to monitor gay rights in the Western Hemisphere.

Fred Sainz, vice president of communications at the Human Rights Campaign, a gay rights advocacy group, said the U.S. was finally stepping into the role it should have held all along as a worldwide leader in promoting equal rights for lesbian, gay, bisexual and transgender people.

"For those who have been denied their equality for decades, change will never come soon enough," Sainz said. "But there should also be no doubt that in the past two years more positive change for and on behalf of gay people has been made than ever before."

Monday, March 7, 2011

Rising Calls to Replace Top Man at Medicare

Members of Congress, including Democrats, have urged the Obama administration to search for another Medicare chief after concluding that the Senate is unlikely to confirm President Obama’s temporary appointee, Dr. Donald M. Berwick.

Dr. Berwick’s principal deputy, Marilyn B. Tavenner, has emerged as a candidate to succeed him. Lawmakers of both parties said Monday that Ms. Tavenner, a former Virginia secretary of health and human resources with extensive management experience, could probably be confirmed.

In a letter to the White House last week, 42 Republican senators urged Mr. Obama to withdraw the nomination of Dr. Berwick to head the Centers for Medicare and Medicaid Services, which runs insurance programs for more than 100 million people. If those senators stick together, they could block confirmation.

Mr. Obama bypassed Congress and appointed Dr. Berwick while the Senate was in recess last July. The appointment allows him to serve to the end of this year.

The president has nominated Dr. Berwick three times, most recently in January. No confirmation hearings have been held, and none are scheduled.

Reid Cherlin, a White House spokesman, said the president would not withdraw the nomination. “The president nominated Don Berwick because he’s far and away the best person for the job, and he’s already doing stellar work at C.M.S.,” Mr. Cherlin said.

It is not clear whether the White House will fight for the nomination or press the Finance Committee to hold a confirmation hearing, which could provide Republicans another opportunity to criticize the new health law.

Dr. Berwick, a pediatrician and a health policy expert, was hired to run Medicare and Medicaid. In recent weeks, the White House has expanded his portfolio to include federal regulation of private insurance.

As a co-founder of the Institute for Healthcare Improvement, a nonprofit organization in Cambridge, Mass., Dr. Berwick advised hospitals on how to save lives by upgrading care and reducing medical errors.

He became caught up in the partisan battle over the new health law. Republicans challenged him to explain comments in which he had discussed the rationing of health care, praised the British health care system and urged health care providers to reduce the use of ineffective procedures near the end of life.

At a hearing of the House Ways and Means Committee last month, Dr. Berwick said, “I abhor rationing.” Representative John Lewis, Democrat of Georgia, told Dr. Berwick, “I love your testimony, not just like it but I loved it.”

Republicans were hostile.

“In your testimony, I see nothing but platitudes,” Representative Charles Boustany Jr., Republican of Louisiana, told Dr. Berwick.

Representative Geoff Davis, Republican of Kentucky, said Dr. Berwick’s answers bordered on equivocation. And Representative Tom Price, Republican of Georgia, told him: “You missed your calling. I think you would make a great lawyer.”

Several people who work with Dr. Berwick at the Medicare agency said they were disappointed that the White House had not done more to promote him. “Everybody here admires Don and the work he’s done, but he is not going to be confirmed,” a supporter said. “That’s inevitable. The Republicans will block him. There’s not a lot of optimism that the White House can do anything about it.”

Ms. Tavenner, a nurse, worked for more than two decades at the Hospital Corporation of America, first as a nursing supervisor, then as a hospital executive and eventually as president of the company’s outpatient services group.