These ‘appointees’ are people who have been HANDED positions, titles, expense accounts, princely salaries, etc. which absolutely nothing in their experience, character or ‘education’ warrants.
These appointees have no idea what individuals in the private sector must do to compete for and win the kind of privilege, status, money and benefits that THEY receive, JUST because they are chummy with unscrupulous politicians.
Once they leave office you never hear from them again because they are incompetent, poseurs and non entities with NOTHING to recommend them except their proximity to and influence with politicians.
Secretary McDonald is retired CEO of Proctor and Gamble. He was entirely in the private sector before accepting his current position.
That said, he has no experience running a health care delivery system. He came up the ranks in P&G as a marketing person.