Let's start at the top: Sylvia Mathews Burwell, President Barack Obama's selected successor for outgoing Health and Human Services Secretary Kathleen Sebelius, will -- barring something unforeseen -- eventually be confirmed.
The elimination of the filibuster for confirmation votes by Senate Democrats ensures it. They don't need a single Republican to sign off on her, though Burwell was already confirmed unanimously last year to head the Office of Management and Budget and several top Senate Republicans have endorsed her nomination.
But there are going to be some troublemakers who use the confirmation of the next person charged with overseeing Obamacare to raise hell, much as they did last fall, about the law. Their options might be limited, but they have some: The background investigation that precedes a confirmation hearing, the hearing itself, the floor vote during which members can place a hold on a nomination for almost any reason at all.
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