“It’s unusual. But it’s the president’s prerogative,” Sen. Mike Rounds (R-S.D.) said of the cascading nominations. “I think a lot of us would appreciate the stability of being able to continue to work with individuals [in the Cabinet] who have been here awhile.”…

GOP senators viewed former VA Secretary David Shulkin as an ally — and they see Jackson’s nomination as an embodiment of Trump’s chaotic management style. Few have publicly committed to voting for Jackson.

“I could see a case where he’s not supported just as a proxy on the way Trump is so out of control with all that he’s doing with nominees. I could see it happening,” said a Republican senator who requested anonymity to frankly discuss the nomination. “It doesn’t appear he’s got the most basic qualifications for the job. So I could see him not being confirmed.”