Becoming secretary of Health and Human Services would be an even higher, more challenging job in the Bush administration for former Utah Gov. Mike Leavitt, but what could it mean down the road?

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Is it a springboard to a run for the U.S. Senate in 2006 or 2010? Or for becoming CEO of a major U.S. company after leaving federal work?

At least for the next few years, Leavitt will be a part of an "aggressive" domestic program, believes Bud Scruggs, one of Leavitt's oldest personal and political friends in Utah.

"Along with tax reform, health care and welfare should be one of President Bush's concentrations in his second term. I think we'll see Bush implement compassionate conservatism" — something that really couldn't be done after 9/11 since the Iraq war and re-election political battles molded his first term, said Scruggs, who is president of Leucadia Asset Management Group but who teamed with Leavitt in the mid-1980s in a local political consulting firm.

Leavitt will take over one of the largest and most bureaucratic federal departments that makes up a quarter of all the spending of the federal government.

It's a huge challenge, said both Scruggs and Pat Shea, a local attorney who was head of the Bureau of Land Management and deputy Interior Department secretary in Bill Clinton's administration.

What heading HHS really means, assuming Leavitt is confirmed, is a high-power job in the private sector when he leaves federal employment, said Shea, who also ran for governor and the U.S. Senate as a Democrat in Utah.