Obamacare official on exchanges: “Let’s just make sure it’s not a third-world experience.”

posted at 1:21 pm on March 22, 2013 by Mary Katharine Ham

A quick reminder about what I’ve been saying about the challenges of Obamacare exchange implementation, here and here.

Now, Obamacare feds are conceding the same. Gary Cohen, head of the Center for Consumer Information and Insurance Oversight, is the one charged with getting this bird off the ground, and has faced grilling from even Democratic lawmakers worried it will crash on take-off.

It seems now, there’s “some possibility” that exchanges might not be functional in October of this year. Expect a lot more backtracking before fall:

Federal officials are developing contingency plans in case the health insurance exchanges are not fully ready to begin enrolling people on Oct. 1, the head of the agency that’s building the massive 50-state marketplace structure said last week.

Gary Cohen, director of the Center for Consumer Information and Insurance Oversight, also said there is “some possibility” that some states now conditionally approved to run their own marketplaces might not be able to launch them on Oct. 1. But he vowed that every state will have an exchange, which could mean the federal government might have to have more of a role than anticipated in states that can’t get to the finish line in time.

His remarks at a national policy meeting of America’s Health Insurance Plans (AHIP) marked the first time that Health and Human Services (HHS) leaders have veered even slightly from their insistence that exchanges will be totally functional by Oct. 1.

Now, here’s the guy in charge of developing the exchange technology, which as I’ve noted, is meant to marry seamlessly with archaic government systems in every state, innumerable private insurance systems, and a federal data hub that doesn’t yet exist by October:

Cohen appeared on an AHIP panel with Henry Chao, a CMS official who’s overseeing the technology for the exchange launch.

Chao was frank about the stress and tension of the compressed time frame involved in setting up the exchanges. “We are under 200 days from open enrollment, and I’m pretty nervous,’’ he said. “I don’t know about you,” he added, to murmurs from the insurance industry audience. Members peppered Chao and Cohen with many questions about the format for the health care policies they will submit to HHS for approval so the plans can be marketed in the exchanges.

Chao said the main objective is to get the exchanges up and running and signing up the uninsured. “The time for debating about the size of text on the screen or the color or is it a world-class user experience, that’s what we used to talk about two years ago,” he said. “Let’s just make sure it’s not a third-world experience.”

He may have been being slightly tongue-in-cheek, but his comment encapsulates the serious challenges with building an exchange that works in all 50 states.

There is far too much taken for granted in health care reporting that asserts, “When the exchanges are built, they’ll be just like a Travelocity for health care.” That assumes a lot of complex tech work that would normally take many years and several pilot programs to complete, even in a private-sector environment. The poor guys building this stuff are faced with the natural problems of government bureaucracy, a federal government that still hasn’t filled in all the regulations in this bill, and a timeline of roughly seven months now. Even in Maryland, where bureaucrats have been preparing for Obamacare eagerly from the word “go,” the tech guys have been tugging at their collars nervously in meetings. It was always an ambitious project on a short timeline. The bill’s inattention to such details and lawmakers’ naive assumption that a “Travelocity for health care” would be a simple build have exacerbated the problem. The “murmurs” referenced above have been subtle but audible in every health care meeting I’ve attended in Maryland, where the industry crowd wants to show a good attitude but is very doubtful just millimeters below the surface smiles. Buckle in for a bumpy ride, people.

But there’s hope. Cohen says they totally have contingency plans….which they’re not yet ready to reveal:

Cohen would not be much more specific and said details of backup plans are not yet worked out. “But as we move closer to October, my hopes are the range of things that could go wrong gets narrower and narrower,” he said. “Then we will be in a position to know better which contingency plans we actually have to implement.”

Speaking with reporters afterward, Cohen said, “I’m absolutely confident every state will have an exchange that will be functioning and ready for enrollment” on Oct. 1. However, he added, “I think there is some possibility that the type of exchange may be different than what we’re looking at today.”

My ideological objections to Obamacare aside, this thing is and always was a beast for implementation and going to a burden on businesses, particularly small ones. It’s something critics pointed out during the bill’s debate and passage, and they were called charlatans for it. Now, the challenges are personified in the stories of Baked in the Sun bakery, which employs 95 people, but is looking at losing half its profit margin to insure them under the new law’s requirements.

Or, there’s Bittersweet Cafe, a local favorite in my area, which employs 45 people. Its owner Jody Manor is understandably hesitant to add another branch and new jobs, which would take him over the 50-employee mark, making him subject to far more regulation under the Affordable Care Act.

The helpful, heartfelt message of the Left for these hard-working small business people trying to stay above water, employ fellow citizens, and deliver good products in a down economy while trying desperately to anticipate the costly implications of a law the feds haven’t even bothered to finish writing after three years? Quit whining.

This thing has already broken every major promise made to pass it— it’ll save families money, it’ll save society money as a whole, it won’t add a dime to the deficit, and you can keep your plan if you like it. Come October, we’ll likely find out just how much more can break.

Hat tip to Phil Klein, who is always great and knowledgable on the health care bill.


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Obama and Hillary spent YEARS telling us that ‘dissent is the highest form of patriotism’ and that ‘we can oppose any administration at any time.’ Washington Nearsider on March 22, 2013 at 2:43 PM

Still curls my hair…

Akzed on March 22, 2013 at 2:54 PM

Still curls my hair…

Akzed on March 22, 2013 at 2:54 PM

The part that still stuns me – as much as it shouldn’t – is that if ANY conservative were to read that statement on camera today, they’d be branded as radical, racist and potentially violent.

And no one in the media would blink.

Washington Nearsider on March 22, 2013 at 3:01 PM

You’re hoping for it to fail aren’t you, Ms. Ham?

nonpartisan on March 22, 2013 at 1:27 PM

No, but unlike you, what I am doing and I’ve been doing since the beginning of this debate is addressing the actual limitations of the law and its writers and regulators, and the possible implications (many negative) to real people’s lives. Why? Because I would like health care to ACTUALLY be better for people instead of just dumping out the whole crayon box on the floor and announcing it’s better because a president or a legislator told me it would be. If, as has happened here, people pass large legislation that disrupts whole parts of the economy based on false promises and are not properly held to account for the damage they’ve done, they will do it again to other large parts of the economy. Maybe by pointing out how utterly unprepared you and your allies were to implement this glorious plan, we can ameliorate the fall-out and prevent another such mistake. Being in denial about it will not help the people you claim to care about. So, read and learn.

Mary Katharine Ham on March 22, 2013 at 2:13 PM

I’m feeling so hot right now. :)

I think I need a Dr, but I heard they’re all retiring early :(

ICanSeeNovFromMyHouse on March 22, 2013 at 3:04 PM

This thing has already broken every major promise made to pass it— it’ll save families money, it’ll save society money as a whole, it won’t add a dime to the deficit, and you can keep your plan if you like it. Come October, we’ll likely find out just how much more can break.

You forgot the most important one, the whole reason this clusterf*ck was crammed down our throats: to solve “the problem of the uninsured.”

Now the CBO tells us that, even after Obamacare is fully implemented, there will still be at least 30 million Americans without health insurance.

This thing has been an epic disaster in every possible way. And it’s only going to get worse.

AZCoyote on March 22, 2013 at 3:04 PM

Hmmmm, I see that nonpartisan didn’t re-emerge…

The truth scared it away!

We win HA’ers!!

Scrumpy on March 22, 2013 at 3:05 PM

nonpartisan, here’s what’s not patriotic, especially in such harsh times. Your president hates Americans and loves the muzzies.

Schadenfreude on March 22, 2013 at 3:06 PM

When Granny and Grampy come home with some pills in a plastic bag
Obama will give them a hearty high five tag
The Reichs will cheer, the Kevorkians will shout
The eugenicists they will all turn out

Get ready for the Ezekiel Emanuel Jubilee
He’ll give Herr Obama three times three
And he will feel so happy and gay
When Granny and Grampy are placed at the funeral home on display

Cheshire Cat on March 22, 2013 at 3:07 PM

Free market rules do not (and never will) apply to government forces.

visions on March 22, 2013 at 2:14 PM

Primarily that’s because they’re spending other people’s money. A failing business plan gets changed because otherwise the owners will starve. That won’t happen to a bureaucrat or a politician – unfortunately. (That’s why we resort to tar and feathers – or should, anyway.)

GWB on March 22, 2013 at 3:08 PM

Where’d partisan go?

Washington Nearsider on March 22, 2013 at 3:10 PM

You forgot the most important one, the whole reason this clusterf*ck was crammed down our throats: to solve “the problem of the uninsured.”

Now the CBO tells us that, even after Obamacare is fully implemented, there will still be at least 30 million Americans without health insurance.

AZCoyote on March 22, 2013 at 3:04 PM

Not only that, there was also the laughable claim that it would stop people from going to the emergency room for everything. LOL. People who like going to emergency rooms (as opposed to having to make appointments and schedule actual visits) are going to keep going. What’s going to happen to them? THey’ll be charged? Ha, ha. They can’t be charged then any more than they can be charged now. The idea that these people are going to change their behavior because some government bureaucrat says they can is too funny. If anything, more people will feel entitled to just walk into emergency rooms any time they feel like it.

ThePrimordialOrderedPair on March 22, 2013 at 3:11 PM

Where’d partisan go?

Washington Nearsider on March 22, 2013 at 3:10 PM

On the phone with Jim Messina begging for his life because he is such a poor propagator of Obummer propaganda.

tom daschle concerned on March 22, 2013 at 3:15 PM

Bitter Clinger on March 22, 2013 at 1:29 PM

rooting against the country used to be considered unpatriotic…I guess that changed when Obama took office. Must’ve missed the memo.

nonpartisan on March 22, 2013 at 1:31 PM

Don’t worry, obama will have his own “seperate but equal coverage” along with a bunch of other governement employees. I’m sure you’ll be one of those.

One could argue that when the ruling elite have their own “seperate but equal” healthcare, pensions, regulation(or lack there of), stock trading rules, and tax rates (0% since many don’t pay their taxes and the IRS can’t prosecute them) that’s a much better example of “patriotism”. it’s kind of like the same patriotism the prolitereat experienced in the USSR.

You are pathetic worm but you do get the last word since we all are forced to pay your government salary and perks.

acyl72 on March 22, 2013 at 3:16 PM

Why question the egress of cat shit?

OhEssYouCowboys on March 22, 2013 at 3:16 PM

No, but unlike you, what I am doing and I’ve been doing since the beginning of this debate is addressing the actual limitations of the law and its writers and regulators, and the possible implications (many negative) to real people’s lives. Why? Because I would like health care to ACTUALLY be better for people instead of just dumping out the whole crayon box on the floor and announcing it’s better because a president or a legislator told me it would be. If, as has happened here, people pass large legislation that disrupts whole parts of the economy based on false promises and are not properly held to account for the damage they’ve done, they will do it again to other large parts of the economy. Maybe by pointing out how utterly unprepared you and your allies were to implement this glorious plan, we can ameliorate the fall-out and prevent another such mistake. Being in denial about it will not help the people you claim to care about. So, read and learn.

Mary Katharine Ham on March 22, 2013 at 2:13 PM

And, of course, MKH had already responded better and faster than I did.

In any case Mary Katherine, it’s nice to see you in the comments and I loved hearing you in the mornings on WMAL. Your departure from there at least means one less thing to miss now that I’m moving out of DC. (Hallelujah!, btw.)

makattak on March 22, 2013 at 3:36 PM

Rates doubling? No problem. People will just drop their insurance and pay the minimal penalties.

That’ll hurt the insurance companies. And once they’ve been crippled, the penalties for non-insurance grow. A lot. Voila! Single-payer government health care.

hawksruleva on March 22, 2013 at 3:37 PM

The Travelocity comparisons are very instructive, too. Uncle Sam didn’t create travelocity. It was the product of pure capitalism. And it wasn’t some instant invention, it built upon years of incremental success and failure by others. It’s development was spurred on by the prospect of getting rich.

The guys building Uncle Sam’s insurance network? They’re not so much concerned with success, or profit, or customers.

hawksruleva on March 22, 2013 at 3:40 PM

I find it distasteful that this site deliberately chooses ‘ugly’ pictures of president Obama to go along with its posts
 
nonpartisan on March 21, 2013 at 3:11 PM

rogerb on March 22, 2013 at 3:40 PM

ThePrimordialOrderedPair on March 22, 2013 at 3:11 PM

Yes, if the federal government really wanted to solve the “freeloader” problem it would have repealed that stupid 1980′s law (EMALTA) that requires any hospital that accepts any federal funding (pretty much every U.S. hospital) to provide emergency care to anyone who shows up, regardless of ability to pay and regardless of citizenship status.

It is this idiotic law that started the practice of pregnant foreigners showing up in the U.S. to have their babies, in U.S. hospitals at U.S. taxpayer expense (and, as an added bonus, U.S. citizenship for the foreigner’s baby). There are now hospitals in the SW that do nothing but provide “free” obstetrical services for poor Mexicans, Salvadorans, Guatemalans, etc., who walk across the southern border so they can have their “anchor” babies here at our expense. And California has an established “birth tourism” industry for wealthy Chinese who fly in to take advantage of us, and Miami hospitals do the same for wealthy Saudis and other Arabs who want their babies born in state-of-the-art U.S. hospitals, but don’t feel like paying for it (and why should they, when U.S. taxpayers are such multi-billion-dollar suckers?).

I saw Marco Rubio on t.v. about a year ago, talking about the Miami situation and saying how “frustrating” it is that U.S. law allows foreigners, even wealthy foreigners, to blatantly rip off U.S. taxpayers this way. But not a word about how he was going to do anything to change the law to stop this abuse. So typical of the incompetence and corruption that characterizes our federal government.

AZCoyote on March 22, 2013 at 3:48 PM

“Let’s just make sure it’s not a third-world experience.”

That junket has already sailed.

locomotivebreath1901 on March 22, 2013 at 3:49 PM

Still want to know. Are these people in the picture real Medical People or just props with white coats

jpcpt03 on March 22, 2013 at 3:52 PM

So, big bloated bureacracy has become so inefficient and ineffective, it can’t even spawn another big bloated bureaucracy, even with basically unlimited time, money and labor?
Well, in this case… COOL!!!

Marcola on March 22, 2013 at 3:53 PM

Obama and Hillary spent YEARS telling us that ‘dissent is the highest form of patriotism’ and that ‘we can oppose any administration at any time.’

Washington Nearsider on March 22, 2013 at 2:43 PM

Still curls my hair…

Akzed on March 22, 2013 at 2:54 PM

Yep; that and “what does it really matter…”; a couple of times she has used her screaming-at-Bill voice in public.

slickwillie2001 on March 22, 2013 at 3:55 PM

“Let’s just make sure it’s not a third-world experience.”

If only there was a way to exempt ourselves from this disaster…

… Oh, wait!

Seven Percent Solution on March 22, 2013 at 3:59 PM

You’re hoping for it to fail aren’t you, Ms. Ham?

nonpartisan on March 22, 2013 at 1:27 PM

I am so sick and tired of any one pretending that the “Affordable Care Act” will provide either affordability or care.

I am so sick and tired of any one pretending that the democrat party of today cares about “the children” or the “middle class” when they care about neither.

IF they wanted affordable care in this country, they would get the he!! out of health care entirely.

IF they cared about “the children”, they would promote competition among educators and schools rather than the monopoly unions have.
IF they cared about the “middle class”, they would stop taxing them to death, stop wasting their money and stop stealing their children’s and grand-children’s futures.

Sick and tired of the LIES.

You should be too.

jersey taxpayer on March 22, 2013 at 4:06 PM

rooting against the country used to be considered unpatriotic…I guess that changed when Obama took office. Must’ve missed the memo.

nonpartisan on March 22, 2013 at 1:31 PM

I’m rooting against YOU.

Chuck Schick on March 22, 2013 at 4:07 PM

As Benn Gleck says almost every day…

It’s all about control.

“Reducing the ranks of the uninsured” and “saving even one child from gun violence” are just rallying cries du jour with the same end in mind…

control.

Marcola on March 22, 2013 at 4:10 PM

“Let’s just make sure it’s not a third-world experience.”

Is that a dog-whistle I hear?

agmartin on March 22, 2013 at 4:11 PM

he said. “Let’s just make sure it’s not a third-world experience.”

Which may mean, go along with the plan quietly and cheerfully and we can keep the outward appearance of a representative republic otherwise with too much opposition and bellyaching, Barry might have to bring on his inner “Hugo Chavez” sooner than he wants to.

hawkeye54 on March 22, 2013 at 4:22 PM

Obamacare official on exchanges: “Let’s just make sure it’s not a third-world experience.”

But…that’s the plan…dontgetit. :-(

Dr. ZhivBlago on March 22, 2013 at 4:35 PM

Holy Sh**!! ObamaCare REALLY is the spawn of RomneyCare!

Look! They’re even using Romney’s “Project ORCA” in the exchanges!

LMFAO!! Hopefully it works better for Ogabe than it did Willard!!

HondaV65 on March 22, 2013 at 4:55 PM

“Let’s just make sure it’s not a third-world experience.”

Not third world. Just a good old-fashioned top down, authoritarian, Soviet-style economic plan.

TarheelBen on March 22, 2013 at 4:59 PM

Would third world be defined as living in mud huts, cooking on dung fires and wiping our behinds with our hands? The perfect agrarian, enviromentally friendly existence and similar to our fearless leaders families homeland?

of course, the ruling elite will continue to enjoy “seperate but equal gated community housing, round the clock security, healthcare, pension plan and exemption from most laws, regulation and tax payments.

acyl72 on March 22, 2013 at 5:09 PM

Just a good old-fashioned top down, authoritarian, Soviet-style economic plan.

Ah, the “Second World” experience it is then!

hawkeye54 on March 22, 2013 at 5:13 PM

So, the goal is to have a system marginally better than a third world tin pot sh!thole?

Lofty ambitions, indeed.

novaculus on March 22, 2013 at 5:24 PM

You’re hoping for it to fail aren’t you, Ms. Ham?

nonpartisan on March 22, 2013 at 1:27 PM

The whole plan is “meant” to fail, genius. When it fails, the Democrats and the media will blame the private sector and come to the rescue with what: more government of course! Obamacare is designed to be an incremental step to single payer, and Democrats have said so when they think no one is listening.

TarheelBen on March 22, 2013 at 5:36 PM

You’re hoping for it to fail aren’t you, Ms. Ham?

nonpartisan on March 22, 2013 at 1:27 PM

Obviously, she can speak for herself — and has!

As for me, I’m hoping for it to fail quickly before it does any more damage. That way, we can clear away the wreckage and make modest reforms that actually have a prayer of doing some good.

There Goes The Neighborhood on March 22, 2013 at 5:37 PM

So, the goal is to have a system marginally better than a third world tin pot sh!thole?

Lofty ambitions, indeed.

Resurrection of Soviet style government and economy lofty enough for ya?

hawkeye54 on March 22, 2013 at 5:46 PM

dominigan on March 22, 2013 at 10:17 AM

Scrumpy on March 22, 2013 at 1:33 PM

Thank you Scrumpy. I was actually heads down most of the day programming.

dominigan on March 22, 2013 at 6:08 PM

Calm down, grumpy. Their age matters because they might have passed in the hospital as well. We can’t just assume they passed due to being out of the hospital. I’m not saying its one or the other, just that the post you linked isn’t proof and we need more evidence to link the two.

nonpartisan on March 22, 2013 at 1:55 PM

We are doing a pilot providing transition of care services for a hospital in Florida for Medicare discharges. We are conducting the pilot with blind selection criteria and tracking those we provide care for, against a control group that we don’t. We are documenting our procedures so that they withstand statistics analysis when we document our findings. Of the 500+ Medicare patients we’ve tracked over the last 90 days with the three penalized discharge conditions (pneumonia, heart attack and heart failure), our care group showed about a 10% less discharge rate. But what we also saw was that the control group experienced a much higher mortality rate.

From discussions with the billing director at the hospital, it’s pretty easy to see where this will be going. The readmission rate penalty will be expanded from 1% -> 3% and the number of tracked conditions from 3 -> 6 over the next 3 years. Additional penalties will be applied through other parts of the law. But suffice to say that hospitals will be attempting to stretch times for readmission until after the 30 days (even if this endangers the patient).

This is not hearsay. This is a statistical valid summary, applied to actual Medicare discharge patients with the conditions targeted under the law.

Might want to get a bowl of ice cream tonight… crow is mighty bitter when eaten in this large of a quantity…

dominigan on March 22, 2013 at 6:21 PM

BUT…..BUT…..
Presidentin is hard…..
III

dirtengineer on March 22, 2013 at 7:06 PM

“Let’s just make sure it’s not a third-world experience.”

With medical rationing, the third-world experience is that we’re going to have to go to the third world to get the medical treatment we need.

petefrt on March 22, 2013 at 8:30 PM

Speaking with reporters afterward, Cohen said, “I’m absolutely confident every state will have an exchange that will be functioning and ready for enrollment” on Oct. 1.

Ha ha ha ha ha ha ha. Ha ha ha ha ha ha. Ha ha ha ha ha ha ha ha. No, stop it, you’re killing me. :)

Theophile on March 22, 2013 at 11:14 PM

The leftist plan is for both a Soviet style bureaucracy and a third world life style.

Remember that leftists/libs/Dems feel that the United States has only achieved its high standard of living by exploiting the rest of the world and using an unfair share of the world’s resources.

In typical leftist fashion, their solution is to bring the United States down rather than raise others up.

Obamacare, or a U.S. leftist brand of single payer, will nicely accomplish a large part of their goal.

justltl on March 23, 2013 at 12:26 AM

I primarily blame the people who voted for these clowns. They have turned over the running of our lives to self-interested, ambitious politians because they believe those politians will take care of them with other people’s money – and with little effort on their part.

LilyBart on March 23, 2013 at 12:35 AM

Someone above implied that they will avoid the pain by not having to depend on Medicare.

Well, because of the actions of the government, the entire medical system itself will, in a word, suck.
So he or she will likely suffer the consequences anyway.

Unless, of course, they are counting on there being a system within the system where those with enough money can find quality care. Not only is that a very elitist attitude for a liberal/leftist , but such a corps of fee-for-service, top-notch docs will be as rare as hens’ teeth- if it will be allowed to exist at all.

So our friend up there will almost certainly suffer along with the rest of us rabble.
Welcome to the New World, comrade.

justltl on March 23, 2013 at 12:46 AM

rooting against the country used to be considered unpatriotic…I guess that changed when Obama took office. Must’ve missed the memo.

nonpartisan on March 22, 2013 at 1:31 PM

Rooting for the country is rooting against Obama. You’re welcome for the memo.

jhffmn on March 23, 2013 at 1:24 AM

Off topic perhaps, but I was always struck by the fact that so many of we Americans always naively assumed that we would never lose our freedom, nor that our government would ever become tyrannical. That, many believed in their heart of hearts, could happen only to other lesser nations in more remote times.

Well, here we find ourselves, going further and further down that slippery slope – and cheered on, no less, by a media that once fancied itself to be the torchbearers of freedom and the truth.

But now it occurs to me that our politicians and media and other high profile leftists and liberals are also very naive- believing that the fate of previous tyrants and their comrades will not befall them. Many, if not most, in the United States will still have the memory of a free and prosperous America fresh in their minds. At the rapid rate at which our freedom and prosperity are evaporating, there will not be as much time for all Americans to become bleary-eyed, passive sheep as occurred elsewhere and during earlier times.

Ms. Napolitano and her ilk just might need more than a billion and a half rounds.
And what patriots remain just might need more tar and feathers as well as rope and lamp posts.

justltl on March 23, 2013 at 1:46 AM

Chao said the main objective is to get the exchanges up and running and signing up the uninsured. “The time for debating about the size of text on the screen or the color or is it a world-class user experience, that’s what we used to talk about two years ago,” he said. “Let’s just make sure it’s not a third-world experience.”

That is a quote of a manager leading a project that is on a Death March. The book you want to read on high tech failure of implementation is Death March by Ed Yourdoun, which I read back when it first came out trying to figure out how to run a successful IT project and how organizations respond to large projects. When you are this close to the deadline and are STILL debating what the screen should look like, your project is toast.

After having 2 years to triage what should or should not be in the data information system, by not setting up a common user standard not just for presentation but for the back-end work, and by not piloting and spiral designing such a program to work out its bugs, it is one that has the word FAIL attached to it and since this is the federal government which has a RECORD of massive IT failures and hasn’t LEARNED what it takes to run a successful large scale IT project the words are EPIC FAIL. Even DoD does better than this Charlie-Foxtrot.

So don’t go telling me that this is HELPING anyone when it can’t even figure out how its users will INTERACT WITH IT. At this point in time by not addressing the back-end work properly, by not vetting what can and can not be done and by failing to even test a system out it will be just like the FBI multiple failures to coordinate data between multiple systems that they OWNED but had wildly different data types and standards between them. That is a TINY problem compared to the data standards and their diversity in the private and even the public sector for health care. And doing a transition to a standard that everyone cannot readily adapt to and by trying to force top-down decisions on what shall be in it rather than asking ‘can this even be in it?’ is putting this into the Death March territory.

Expect the managers to start looking for other work elsewhere voluntarily before 01 OCT.

This failure will become an IT Orphan… but I’m here to remind the Left and all the backers of this monster that it has many fathers who touted it and sold it as something it could never, ever be. That is accountability and owning up to failure is something the Left touts for others and now I’m here to start pinning it on them. Not just on Obamacare, either, but the entire mess of regulations, mandates, and encroachment on good business practices that have been stopped by this meddling government. And, yeah, that goes back DECADES, so its not just the current crop I blame but the whole contingent of do-gooders who think government can do no wrong going back to Teddy Roosevelt. Hey, he had an R by his name, so don’t accuse me of partisanship… this is bad law, evil mindset and is hurting this Nation.

I’m all for America.

I’m against those who wish to subvert liberty and freedom in the name of providing good stuff that they can’t even manage nonetheless create. Bureaucrats are leeches and Obamacare is an flotilla of them crawling up through the water mains and trying to infest every household in the Nation. Too bad the Left wants you on a salt free diet and to be a salt free household. That leaves burning and that is what this law will do: roll and burn. Burn, baby, burn.

ajacksonian on March 23, 2013 at 7:09 AM

My take.

kingsjester on March 23, 2013 at 7:44 AM

Sick and tired of the LIES.

You should be too.

jersey taxpayer on March 22, 2013 at 4:06 PM

I was tired along time ago.

banzaibob on March 23, 2013 at 8:21 AM

ajacksonian on March 23, 2013 at 7:09 AM

Just wait until the hacking starts and your personal info is free game to those who wish to use it.

banzaibob on March 23, 2013 at 8:24 AM

rooting against the country used to be considered unpatriotic…I guess that changed when Obama took office. Must’ve missed the memo.

nonpartisan on March 22, 2013 at 1:31 PM

Yes, and the people who voted Obama in office should be ashamed of themselves for their lack of patriotism when they selected their candidate.

zoyclem on March 23, 2013 at 9:41 AM

I find it distasteful that this site deliberately chooses ‘ugly’ pictures of president Obama to go along with its posts

nonpartisan on March 21, 2013 at 3:11 PM

because libs were so excited to show pretty pictures of Romney and Palin? Do you even remember this?

alwaysfiredup on March 23, 2013 at 12:28 PM

the exchange system works well in massachusettes.-this is not about the price or the policy-just that the online system works well.

however i have no doubts that a new system starting jan 1 will have initial growing pains-but eventually online will work

gerrym51 on March 23, 2013 at 2:37 PM

You’re hoping for it to fail aren’t you, Ms. Ham?

nonpartisan on March 22, 2013 at 1:27 PM

.
Neither Mary Katharine’, nor any of the rest of us have to “hope” for it to fail. It’s a foregone conclusion.

All we can do now, is pray that it doesn’t destroy the country, before it’s repealed.

listens2glenn on March 23, 2013 at 8:31 PM

I find it distasteful that this site deliberately chooses ‘ugly’ pictures of president Obama to go along with its posts

nonpartisan on March 21, 2013 at 3:11 PM

After 8 years of anti-Bush sentiment including regular wishing that he were dead, libpartisan, on behalf of everyone here I offer you a waaahburger and a side of french cries.

MelonCollie on March 23, 2013 at 9:00 PM

Federal officials are developing contingency plans

Plan 1: Citizens are prohibited from getting sick.

Plan 2: Report to the desk at the DMV now handling federal insurance applications. Translators, CPAs, and lawyers will be provided for your assistance.

PattyJ on March 24, 2013 at 10:23 AM

Hey, have all of you docs out there gotten your outpatient electronic medical records system ?
Because, if you haven’t, you better realize that it’s going to cost you a bloody fortune.
And, of course, the various systems out there don’t directly integrate with each other.

If the government *spit* actually wanted to do anything useful, they would have developed a standard, easy to use system that every doc could have simply downloaded to their office.

Do I want this government to fail?
Not really. Besides, it looks like it’s already failed.
What I want is for the criminals in government and their advocates be tried, convicted and publicly executed for destroying a once great nation.

justltl on March 24, 2013 at 11:38 AM

Maybe their bodies could be ground up and used for fertilizer.
It would probably be the first time that they were beneficial rather than destructive.
I try to be environmentally conscious doncha know.

justltl on March 24, 2013 at 11:47 AM

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