He's a Stockdale waiting to happen.
United States Navy Vice Admiral James Bond Stockdale? Who is quoted as saying this...?
“This is a very important lesson. You must never confuse faith that you will prevail in the end—which you can never afford to lose—with the discipline to confront the most brutal facts of your current reality, whatever they might be.”
HHS needs a cold-hearted managerial type that will attack the incompetence and corruption, shrinking the department accordingly.
I don't think that's Carson's metier.