What could be the reason that Obama appointed a Marxist to be the Medicare Czar and how will America react to?

Well, considering the fact that the full effects of Obamacare doesnt kick in until 2014, and as a result, theres nothing for this Berwick guy to do until then, I'd say that Obama has just awarded a do nothing (for 4 years) six figure job to yet another one of his cronies.