By Lee Hamilton.
Americans want to see better performance from their government. Where to start: cut the number of political appointees, reduce layers of management, reform the civil service, and rein in costly outsourcing.
In 1965, the chairman of the powerful Ways and Means Committee, Wilbur Mills, brought legislation establishing Medicare and Medicaid to the floor of the U.S. House. That was my first year in Congress, and I remember vividly the moment when Mills came to the Democratic caucus to explain his plans.