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Former head of HHS says success comes when a secretary appoints the right people

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We’re chatting with former Cabinet members, chiefs of staff and government leaders from now to Jan. 20 to get a sense of what the incoming administration might face as it takes the reins.

Today we’re talking to Tommy Thompson, the former governor of Wisconsin who also served as Health and Human Services secretary in the George W. Bush administration. Thompson joined Wisconsin Republicans on election night to celebrate President-elect Donald Trump’s victory earlier this month.

What advice do you have for the next Cabinet secretary?

The issues that Robert F. Kennedy Jr. is focusing on are the same issues that I addressed when I was secretary. That is: obesity, diabetes, food safety and food security. My advice would be to appoint the right people to help lead the many divisions under Health and Human Services. That’s what makes you a successful secretary.

What’s one thing you didn’t know that you wish you did before you got into the job?

I was shocked when I got there to see how broad and how deep the Department of Health and Human Services affects the American people. There isn’t a human in the country that is not touched a daily basis by decisions made by the department. Whether it’s the food you eat, the drugs you take, the programs you receive, whether you’re elderly, a child or in high school or daycare, there isn’t anything that the department in some respect doesn’t touch.

What do you see as the biggest obstacle facing the next administration?

One of the biggest things always is that there are entrenched bureaucrats. There’s a saying in the Department of Health and Human Services that “in four years they will be gone and I will still be here.” They can out-wait a secretary quite easily, and they know that. The idea that they will be there after the secretary leaves so things don’t change is a huge problem in all federal departments. So what Elon Musk and Vivek Ramaswamy are doing [with their Department of Government Efficiency] is smart. If they can somehow reorganize and slim down the bureaucracy and make it more transparent and more accountable, then every secretary who comes in will be better served.

Where did you go to have a meltdown?

My way of regrouping is always to go to my farm in Elroy, Wisconsin. I would spend a few days there, getting on the tractor and doing some hard physical work and seeing the beauty of the land and the opportunities of growth with crops. It’s a great way to rehabilitate yourself.

Want more? Former Transportation Secretary Ray LaHood says career government workers are key to meeting goals.

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Fetterman says Democrats were ‘horribly wrong’ to try eliminating Senate filibuster

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Sen. John Fetterman (D-Pa.) is backpedaling on his previous calls to eliminate the filibuster in the Senate — which is a critical bulwark against “a fill-in-the-blank government with new laws, deregulation or procedures of its choosing,” he wrote in a Washington Post op-ed published Monday.

“A Senate without the filibuster [would become] a Senate that ignored the voices of the minority and everyday people,” he wrote, elaborating on previous comments. Last month, he told Katie Miller that Democrats were “so wrong” about opposing the filibuster.

“We cannot become a smaller version of the House of Representatives,” he wrote in his op-ed.

In 2022, Fetterman campaigned to abolish the filibuster, a 60-vote rule that effectively requires a supermajority to pass most legislation. His argument on the trail — which remains on his campaign website as of Monday afternoon — was that the rule stood “in the way of getting things done for Pennsylvanians.”

At that time, many Senate Democrats and activists argued the same publicly, as the party attempted to pass a sweeping overhaul of elections that Democrats said would better protect voting rights. But two then-Democratic senators, Joe Manchin (W.Va.) and Kyrsten Sinema (Ariz.) — protested against throwing out the rule, saying it would hurt the party’s priorities in the long run.

Ultimately the filibuster survived and Democrats did not pass their voting rights bill, with much of the party base heaping scorn on Manchin and Sinema.

Now, with Republicans holding a government trifecta, the power dynamic has flipped.

President Donald Trump is now urging Republican senators to kill the filibuster, which has stalled passage of the SAVE America Act. He turned the screws on Majority Leader John Thune on Monday, demanding that Thune keep the Senate in session until the GOP-backed elections bill passes.

“John Thune should not allow the United States Senate to ‘leave town’ until it passes The Save America Act or, far better still, TERMINATES THE FILIBUSTER, where Republicans can then quickly pass everything they ever dreamed of,” Trump wrote in a Truth Social post.

The filibuster has been a block against GOP-championed causes, Fetterman argued: “We could have extreme policies such as nationwide abortion restrictions, backpedaling on LGBT rights, repeal of birthright citizenship and limited voting rights across the country. … Republicans could fundamentally change the entire government and country with a simple majority vote.”

With the midterms approaching, Democrats face a tight battle to win back the Senate. The next time they have a trifecta, the filibuster will — once again — be a thorn in the party’s side, complicating the passage of key priorities.

Democrats “will once again have to find common ground with our Republican colleagues,” Fetterman said. “We will need to abandon our worst impulses as a party and work together to find solutions to the problems Americans face.”

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McConnell to remain in rehab, will skip Fancy Farm picnic in Kentucky

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Sen. Mitch McConnell (R-Ky.) announced Monday that he will remain in rehab as he continues to recover from a June fall that left him briefly unconscious.

In a statement, McConnell shared that he is “working hard” to return to a full schedule but remains in “intense physical therapy.”

The Office of the Attending Physician (OAP) confirmed that medical staff visit the senator daily to discuss “all aspects of his rehabilitation care” but added he is “not yet medically cleared to leave the rehab facility and return to office.”

“Since his discharge from hospital care, he has maintained a strenuous course of physical therapy and rehabilitation, including multiple sessions a day designed to rebuild strength and reduce the risk of future falls,” the OAP said. “His bout with childhood polio continues to be a significant factor in his mobility.”

McConnell, 84, was rushed to the hospital on June 14 following the fall and what he described as a “mild case of pneumonia.” In a letter to constituents earlier this month, he said that while he was briefly knocked unconscious, he did not suffer any broken bones, a stroke or a heart attack. It is unclear when McConnell was discharged.

But his continued rehab stay means McConnell will miss Kentucky’s premier political event: the annual Fancy Farm Picnic.

“There’s no place I’d rather be on the first Saturday in August than with the good people of western Kentucky, feasting on pork and mutton,” McConnell said Monday. “I hate that I’ll miss the fun this year, but I’m sending my best wishes to the St. Jerome community for a successful picnic.”

McConnell, who is retiring when his current term concludes in January, has faced a series of health challenges in recent years. In 2023, he froze twice while speaking to reporters. He has also experienced several other falls and, at one point, used a wheelchair as what his office called a precautionary measure.

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Trump tells Thune to keep Senate in session to pass SAVE America Act

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President Donald Trump ramped up pressure Monday on Majority Leader John Thune, telling him to keep the Senate in session until a GOP election bill passes.

“John Thune should not allow the United States Senate to ‘leave town’ until it passes The Save America Act or, far better still, TERMINATES THE FILIBUSTER, where Republicans can then quickly pass everything they ever dreamed of,” Trump wrote in a Truth Social post Monday.

Democrats, he added, will nix the filibuster themselves when they regain power “and can’t believe how lucky they got with this Senate leadership. Remember, stupidity always brings LOSING & DEATH!”

Trump’s Truth Social post comes after he urged supporters last week to call Thune about the SAVE America Act, then said Friday that he wanted Senate Republicans to adopt a blueprint for a $95 billion party-line spending bill, which would include some election-related funding, before they leave town for the August recess as planned on Aug. 6.

Sens. Mike Lee (R-Utah) and Rick Scott (R-Fla.) said over the weekend that they believed the Senate should stay in town until the election bill is passed. Lee has previously called for the Senate to stay in session through prior recesses to pass the SAVE America Act but has not forced the issue on the floor.

Despite Trump’s pressure campaign, the elections bill doesn’t have the votes to pass the Senate and there isn’t enough support within the Senate Republican conference for nixing the filibuster, which requires 60 votes for most legislation to advance.

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