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When he first took over, Califano claims, "HEW was in a state of absolute organizational disarray." He cites the report by HEW'S inspector general that the department wastes $6 billion annually. To try to straighten out the programs and cut down the waste, Califano set up a watchdog bureau similar to the President's Office of Management and Budget. The office has department-wide oversight of budgeting, planning, procurement, and reorganization. Though HEW deals with human beings and not hardware, Califano wants to quantify program goals as much as possible. He has set up targets for reducing waste...
...zeal, as he is the first to acknowledge, Califano is only a partial boss of his own house. Sometimes he talks as if he too were just another private citizen gazing in amazement at a bureaucracy nobody can quite fathom, much less control. Authority is so splintered that HEW seems to be run by nobody and yet run by everybody. And everybody wants something from...
...been attracted to Washington, where they prowl the halls of Congress and the corridors of HEW. They conquer by dividing. At their urging, Congress passes narrowly focused legislation?so-called categorical grants ?that explicitly directs the action HEW is to take. One example: the program to help handicapped children that puts extremely detailed and restrictive requirements on administrators...
...methods of modern medicine? The answer is that they did not. Under mounting pressure from claimants and their congressional allies, the definition of disability has been stretched to the point where it can cover a case of nerves, a lingering depression, even chronic headaches. Disability claims are now swamping HEW, which has had to hire 650 administrative judges to hear all the appeals?more judges than the entire federal court system uses. Even so, there is a backlog of 133,860 cases. If their claims are rejected by HEW, people usually resort to the courts, where they often...
...hospital stay has jumped from $350 in 1965 to $1,300 today, and it is expected to reach $2,600 in 1983. Hospital costs are increasing at an average annual rate of 13.5%, almost 3% more than the rate of increase in the consumer price index. With every increase HEW's health bills automatically go higher...