Medicare, though seen as a big government program, is actually structured so that local contractors make many coverage decisions.

FORBES: Why Medicare Is Reviewing Provenge

He has some loose ends to tie up as OMB Director, and he will obviously make some decisions about how his office is structured going forward.

WHITEHOUSE: Press Briefing

Look, when we talked about the decisions that were made around a structured bankruptcy, we were dealing in an economy I think where the yearly car sales were certainly less than 10 million.

WHITEHOUSE: Press Briefing