When the Senate voted Tuesday to make Marilyn Tavenner the official administrator of the Centers for Medicare and Medicaid Services, it was the first time the world's greatest deliberative body had approved someone to head the huge health agency since 2004.
That's right, you have to go way back to the Bush administration to find Dr. Mark McClellan, the last person to be officially put in the post.
If it's a Monday, you can usually find Dr. David Brown parked next to a lake in Miami, spending the day inside a 36-foot-long RV. He's not on vacation.
Brown is chief of family medicine at Florida International University's medical school. The RV is the school's mobile health clinic.