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The Secretary of the Department of Health and Human Services is a presidential cabinet position in charge of a huge and complex organization comprising 11 separate agencies. The overall purpose of the department is to safeguard public health and provide essential services to all Americans. These services range from health insurance, to food safety, to Medicare and Medicaid, to preparing for and managing public health crises, and much more. It’s an immensely powerful and important position, and in some ways, it isn’t too much of an exaggeration to say that the Secretary has the lives and well-being of ordinary Americans in his or her hands.
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https://celiafarber.substack.com/p/how-i-stopped-worrying-about-despotism