and now that the senate by a vote of 78 since they did away with filebustering judges and other appointments by the president for confirmation.next up for new sectary of health and human service sylvia mathew burwell will pick up where kathleen left off including continuing to over see the viled by some health care act go into place and of course over seeing medicare and medicaid plus also she will be overseeing and giving orders to the bosses of the fda and the nih. but mostly her big thing will be to continue the health care act being into place some more which also means the grief and headaches that are coming as the president gets a new health sectary confirmed to run things. senate okays sylvia burwell. easier since noms can’t be filebustered with out harry reid finaly going for the full nuke and getting rid of the thing.