Yeah, I guessed you missed the part where Carson said he's not qualified to work at that level. Also, the fact that Carson may be able to do well in a field for which he intensively trained 10+ years and in which he is very experienced is a far different thing than just dumping him in an entirely different--and extremely important--occupation that requires its own level of expertise, competencies and experience that he doesn't have.  The idea that because he's a good doctor he'll be a good head of an agency about which he knows squat is ludicrous.  It's like saying because you're a genius farmer you'll be 
good to go on jumping in as a general practitioner with zero training.