Posted on 10/19/2013 10:33:39 AM PDT by neverdem
Amid all the tussling over the government shutdown and the debt ceiling, a couple of bombshells went off in the blogosphere that may prove of more enduring importance.
They suggest that there is a nontrivial possibility that Obamacare may implode.
The first bombshell went off on Tuesday, from Ezra Klein of the Washington Posts Wonkblog.
Klein was one of those young writers who formed JournoList a few years ago so that like-minded Obama fans could coordinate their lines of argument. It was like one of those college-sophomore clubs, not really necessary in an age of ready contact through e-mail, but it shows him as a guy inclined to play team ball.
So its noteworthy when he writes, So far, the Affordable Care Acts launch has been a failure. Not troubled. Not glitchy. A failure.
Klein notes that the rollout of the Medicare prescription-drug program was also rocky two weeks into the process. But later it got smoothed out.
Klein fears Obamacare wont. Its not just a problem of overloaded servers. Everyone knew there would be lots of traffic in a nation of 312 million people. Information-technology folks say its easy to add servers.
Its harder to get software systems to communicate. And as Klein quotes insurance consultant Bob Laszlewski, the backroom connection between the insurance companies and the federal government is a disaster.
The reconciliation system isnt working and hasnt even been tested, Klein reports. Insurers are getting virtually no usable data from the exchanges.
Bloomberg View columnist Megan McArdle, who unlike most Obamacare architects actually worked at an IT firm for a couple of years, sees the possibility of even more trouble ahead.
She points out that the administration delayed writing major rules during the 2012 campaign to avoid giving Republicans campaign fodder.
The biggest contractor did not start writing software code until spring 2013. They were still fiddling with the Healthcare.gov website in September.
Instead of subcontracting the responsibility for integrating the software of the multiple contractors, the Centers for Medicare & Medicaid Services decided to do it in-house a decision, McArdle writes, equivalent to someone who has never even hung a picture deciding that they should become their own general contractor and build a house.
If the exchanges dont get fixed soon, she writes, they could destroy Obamacare. You need the exchanges to enroll enough young healthy people to subsidize those who are sick and old, which is one of the central features of Obamacare.
Otherwise, premiums shoot up and up, pushing others out of the system a death spiral that can continue year after year.
At what point, she asks, do we admit that the system just isnt working well enough, roll it back, and delay the whole thing for a year? She suggests that if the system cant enroll 50 percent of its users by November 1, such a hugely drastic step would be in order.
That sounds like a nightmare of the first order for individuals, for insurers, for employers, and for the Obama administration. A far worse nightmare than when Congress in 1989 repealed the Medicare prescription-drug plan it had passed the year before because of widespread dissatisfaction.
Of course its possible this nightmare will not happen. Things will get ironed out somehow.
But if they dont, whos responsible? First, a president who is not much interested in how government works on the ground. As a community organizer he never did get all the asbestos removed from the Altgeld housing project.
Politico reports that his universal health care promise was first made when his press secretary and speechwriter needed a rousing ending to a 2007 campaign speech to a liberal group.
Second, lawmakers and administrators who assume that, in an Information Age, all you have to do is to assign a task to an IT team and they will perform it. Cross your fingers, and it gets done.
Third, government IT-procurement rules that are kludgy. Apple didnt bid on this. The IT work went to insider firms that specialize in jumping through the hoops and ladders of government-procurement rules.
Unfortunately, the consequences of a meltdown are enormous when a system is supposed to be used by everybody. If a private firms software fails, it can go bankrupt. No one else much cares.
But if Obamacares software crashes, the consequences will be catastrophic for the nation and for the Democratic party.
Michael Barone is senior political analyst for the Washington Examiner. © 2013 The Washington Examiner. Distributed by Creators.com
I disagree. The RINOs wanted to fund ZeroCare so they could still go to the Dems' cocktail parties. Conservatives had only part of the equation right - defunding the pig. Delaying it for a year only gives zero a year to fix it, something I believe that the conservatives never considered.
IMO, the conservatives believed that if they could delay it for a year, that was a year they had to work on getting it defunded. I don't think they ever considered the alternative that zero and crew would use that year to fix the piece of crap. It was Boehner and McConnell who thought they were tossing zero a bone by delaying it for a year if he would approve the bill the House passed. And, I don't think that most Republicans would consider either Bawlin' Boehner or McConnell "conservatives".
hehe ...
Obamacare: Hubris, followed by failure, followed by schadenfreude.
And, in the meantime, the entire healthcare industry left in shambles and millions of American families left without insurance.
You misunderstood, it is Obama that is practicing schadenfreude. A true sociopath that doesn’t care what human and economic wreckage he leaves on his pursuit of his socialist ends. Like a kid burning ants with a magnifying glass. A wantabee tyrant.
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