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Janet Rehnquist faces investigation
Chief Justices daughter purges Health and Human Services
office
By Peter Daniels
30 November 2002
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A series of complaints about the conduct of the US Department
of Health and Human Services (HHS) inspector general has shed
some additional light on the workings of the Bush administration.
Janet Rehnquist, who previously held the relatively low-level
post of an assistant US attorney in Virginia, was appointed in
August 2001 to the inspector generals job at HHS, where
she is responsible for oversight on the spending of more than
$450 billion annually for such programs as Medicare and Medicaid.
She also happens to be the daughter of the chief justice of the
US Supreme Court, William Rehnquist.
In the 15 months since she took office, Ms. Rehnquist has carried
out a wholesale purge of her department, the largest of the 57
inspector general offices within the federal government. Nineteen
career officials, including five of the six deputies in the department,
have been removed through retirement, forced resignation or transfer.
Some of those who have been removed by Rehnquist have apparently
taken their complaints to Congress and other government agencies.
The dispute has reached into the Republican Party, with Iowa Senator
Charles Grassley, the incoming chairman of the Senate Finance
Committee, calling for a review of Rehnquists actions. Grassley
said the loss of the 19 officials could hinder the performance
of an office that has a stellar reputation for fighting fraud,
waste and abuse in federal health care programs.
In a bizarre but significant sidelight to the Rehnquist dispute,
officials are also looking into whether she illegally kept a gun
in her office at HHS. Marcia J. Van Note, a former executive assistant
to the inspector general, told investigators that her boss kept
a pistol in a file cabinet, and that she had a poster of a life-size
human target posted on her office wall. She told co-workers that
she used the target to practice her aim, according to a November
11 report in the Wall Street Journal, prompting the offices
employees to fear for their safety.
Whether Rehnquists illegal brandishing of a firearm at
her workplace was a calculated attempt to intimidate her subordinates,
evidence of mental imbalance or a combination of both is unclear.
What has become increasingly evident, however, is that a management
style that approaches a reign of terror is directed at rolling
back longstanding procedures within the inspector generals
office.
Every federal department and major agency has an inspector
general. The HHS office is the biggest, with 1,600 employees.
It was created in 1976, and was followed by the establishment
of 57 similar offices throughout the federal government. In fiscal
year 2000, the combined budgets of these 57 inspectors general
was $1.3 billion, and they recovered $5.5 billion in waste and
fraud, while recommending another $15.6 billion be put to better
use.
Incoming inspectors general often make some changes, but the
wholesale turnover under Rehnquist is without precedent. According
to the Wall Street Journal, Rehnquist quickly put
her stamp on the office, easing antifraud measures and instead
emphasizing voluntary compliance. She scaled back the use of corporate
integrity agreements, in which health-care companies found
to have defrauded the government acquiesce to strict reporting
conditions, saying she was concerned about [their] financial
impact on providers. Rehnquists predecessor
at HHS, June Gibbs Brown, said these changes had weakened
the system...Its really giving in to industry.
Among those who left soon after Rehnquists arrival were
Deputy Inspector General Tom Roslewicz, who retired a year early
after Rehnquist attempted to force him to sign a loyalty pledge
and denied him a customary bonus. Another deputy, D. McCarty Thornton,
left under pressure. Both of these officials had won Meritorious
Executive Presidential Rank Awards.
Two other deputiesMichael Mangano and George Grobwere
told to leave, and were made no-show employees in the meantime.
These two had won the most prestigious Distinguished Executive
Presidential Rank Award for a relentless long-term commitment
to excellence in public service.
Rehnquist is the only political appointee in her office, and
she clearly felt that the veteran civil service employees on the
staff were too conscientious in their hunt for fraud and waste
among the big private providers of medical care. The ultra-right
campaign against bureaucratic waste in government abruptly stops
when it comes to big business illegally profiting off of government
spending.
The Rehnquist dispute also lifts the veil on a practice of
the Bush Administration that has received scant coverage in the
mediarampant and unprecedented nepotism. She is only one
of the many children of powerful government officials identified
with the Republican right who have been catapulted into top jobs.
Elizabeth Cheney, the daughter of the vice president, occupies
a State Department position created especially for her, and her
husband is chief counsel of the Office of Management and Budget.
The top lawyer at the Labor Department is Eugene Scalia, the son
of another right-wing Supreme Court justice, Antonin Scalia. Secretary
of State Colin Powells son, Michael Powell, is chairman
of the Federal Communications Commission.
The cases of Scalia and Rehnquist are particularly revealing.
Children of the leaders of the Supreme Court majority that installed
Bush in the White House two years ago have been given powerful
executive branch jobs. Eugene Scalia acted as one of the Bush
campaigns attorneys in the successful effort to have his
father and the other four right-wing Republican justices in the
Supreme Court majority block a Florida vote recount, elevating
Bush to the presidency despite the fact that his Democratic opponent,
Al Gore, had won the popular vote and, in all likelihood, had
outpolled Bush in Florida.
See Also:
Family ties, political
bias linked US Supreme Court justices to Bush camp
[22 December 2000]
Supreme Court overrides
US voters: a ruling that will live in infamy
[14 December 2000]
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