The Senate confirmed Sylvia Mathews Burwell, the White House's budget director for the past year, on Thursday as the 22nd secretary of the Department of Health and Human Services. On a bipartisan vote of 78 to 17, senators approved Burwell to lead the government's largest domestic department, ending a quick confirmation process that was devoid of the bitter partisanship surrounding the 2010 Affordable Care Act and the changes it is bringing to the U.S. health-care system. Senate Finance Committee Chairman Ron Wyden (D-Ore.), whose committee had recommended Burwell to the full Senate, said that she attracted what he called "a choir of bipartisan support" because "she is really that good, she is really that capable, and she is really that qualified."