Biden’s HHS nominee is short on public health experience
Even some progressives were perplexed when President Joe Biden nominated California Attorney General Xavier Becerra to be secretary of Health and Human Services.
“I would have liked to see the HHS secretary have public health experience,” Rep. Pramila Jayapal (D-Wash.) told Politico. The New York Times reported that it was “a surprise” and summarized his health experience as being “at the forefront of legal efforts on health care” and being “vocal in the Democratic Party about fighting for women’s health.”
In other words: As California’s attorney general he opposed the Trump administration’s long-shot effort to get courts to strike down Obamacare, and as a congressman he earned 100% from NARAL Pro-Choice America.
In his long career as a Democratic congressman and as California’s attorney general, Becerra built a strong record as a progressive, especially on social issues, which delights some Americans and appalls others. During the Biden transition, Becerra had been mentioned as a possible secretary of Homeland Security or attorney general. In 2008, President-elect Barack Obama reportedly considered him for U.S. trade representative. While Republicans might have dreaded seeing him in those positions, he was arguably qualified for them.
Running the largest department of the federal government is another story. Becerra has experience in battling Catholic nuns over their employee health plans. (And in losing to them.) But as someone without much background in health or health policy, he’s an odd pick to fix the Centers for Disease Control.
Of course, it’s not out of the ordinary that Biden would pick a Health and Human Services nominee who has an expansive view of abortion rights and a cramped one of religious liberty. That’s what you’d expect in a Democratic administration, and it was true of Obama’s two HHS secretaries as well.
What’s novel is choosing someone whose principal recommendation for the job is his culture war zealotry. It’s as though President Donald Trump had chosen Rick Santorum to run HHS — except that Santorum has actually done a lot of work on health policy over the course of his career.
Opposing Becerra makes political sense for Republicans. Social conservatives are a crucial part of the Republican coalition, but a part that has long had doubts about the party’s commitment to defending their interests and values. Challenging a nominee who was selected more or less to be a thumb in their eye is one way to reassure and mobilize them.
Explanations for Trump’s strong support from Republican voters have, over and over, found that many of them wanted someone who would fight. The Becerra nomination presents a chance for Republican senators — whether they were foursquare behind Trump, ambivalent or opposed — to show that they are willing to fight.
If they decide to make a campaign of opposition, Republicans should find themselves relatively unified. Sen. Susan Collins (R-Maine) often breaks with her party on votes related to social issues. But she too has expressed concern about Becerra’s lack of health care chops.
There are any number of people who could plausibly serve as HHS secretary in a Democratic administration. Plenty of former governors and prominent physicians would bring executive experience or knowledge of health care — or even both — to the job while satisfying the interest groups that have informal veto power over any Democratic president’s nomination for it. The Senate’s power of advice and consent would be well used prodding Biden to pick one of them.