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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Comment pages: 1 2

Not possible, the third world experience is a key component to these types of health care systems.

ChunkyLover on March 22, 2013 at 1:24 PM

Born to die.

Single-payer is Utopia.

OhEssYouCowboys on March 22, 2013 at 1:25 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

Will be so fun watching Mary Landrieu explain the “Louisiana Purchase” to her constituents in 2014.

Robert_Paulson on March 22, 2013 at 1:27 PM

Who, apart from low-info morons, was expecting Obamacare to even be as good as a third world experience?

86 on March 22, 2013 at 1:28 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

Why are you so eager to hope it succeeds?

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

We are ruled by dictators, mandaters, orderers, compellers, requirers, and forcers … and they are ruled by incompetence, ignorance, greed and the lust for power.

Just wait till The Unmade Bed takes the White House.

We’ve seen nothing, yet.

OhEssYouCowboys on March 22, 2013 at 1:29 PM

Our previous health care was just so terrible wasn’t it? I’m glad the nanny is here to take care of me. /

RDE2010 on March 22, 2013 at 1:30 PM

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

Wow, talk about diving head first into the empty deep end of the Stupid pool.

SWalker on March 22, 2013 at 1:31 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

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

nonpartisan on March 22, 2013 at 1:27 PM

Why are you so eager to hope it succeeds?

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

They’re not. They want it to go down in flames as an epic disaster, but only after the entire insurance industry is a shambles as well. Then enter Single Payer.

CurtZHP on March 22, 2013 at 1:31 PM

Bringing this over from QOTD!

First hand account of what to expect!

I’m currently working on a project tied to the new healthcare law. Many people don’t know that hospitals will start taking HUGE hits for Medicare patients that readmit within 30 days. Our project is built around the concept of providing care transition to Medicare patients after discharge to proactively catch issues that could lead to a readmit. We have a pilot going on with a hospital in Florida to prove our approach (which we’ve been doing with employer groups for 14 years).

The scary thing is that our pilot has already shown an unintended consequence of the new law…

According to the numbers we’re seeing, our approach is somewhat helpful in preventing readmissions. When we dug deeper into the numbers, we found out why it wasn’t as helpful as we were expecting…

Instead of getting dramatically higher readmits out of the control group, many Medicare patients were simply dying off within 30 days of discharge!

It is in the financial interests of the hospital for Medicare patients to die, than to go back to the hospital within 30 days for treatment!

If you are Medicare age within the next decade, you better be careful thinking hospitals are all about caring for your health.

Needless to say, we were somewhat stunned at what we uncovered this week…

dominigan on March 22, 2013 at 10:17 AM

Scrumpy on March 22, 2013 at 1:33 PM

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

I already know it.

Blame Republicans.

Gatsu on March 22, 2013 at 1:34 PM

Born to die.

Single-payer is Utopia.

OhEssYouCowboys on March 22, 2013 at 1:25 PM

The single payer crap means massive tax increase on everyone, an average of $ 5,000 a year tax increase on everyone… I will be so happy to see the democrats that stupid to try it… It will finish them politcally for the next 20 years…

mnjg on March 22, 2013 at 1:35 PM

nonpartisan on March 22, 2013 at 1:31 PM

Wanna root for what the above comment has to say from dominigan?

Moron…

Scrumpy on March 22, 2013 at 1:36 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

Low IQ communist scum and slave of the state… It is not about hpoing to fail it is certain that it is going to fail and fail badly…

mnjg on March 22, 2013 at 1:36 PM

The single payer crap means massive tax increase on everyone, an average of $ 5,000 a year tax increase on everyone… I will be so happy to see the democrats that stupid to try it… It will finish them politcally for the next 20 years…

mnjg on March 22, 2013 at 1:35 PM

Massive tax increases is exactly what they want.

Tyranny isn’t always at the tip of a bayonet.

The power to tax, is the power to control.

The Supreme Court vis-a-vis Roberts, acknowledged that in its CommieCare decision.

It’s all about control.

OhEssYouCowboys on March 22, 2013 at 1:39 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

Question authority (you bloody hippy).

yubley on March 22, 2013 at 1:40 PM

This thing is already killing a fragile/down economy. Ask the recent college graduates. Premiums will skyrocket and the answer will be single payer…this was the ultimate goal all along.

d1carter on March 22, 2013 at 1:40 PM

This finding out what’s in it stage isn’t all it was cracked up to be, eh Dems?

Othniel on March 22, 2013 at 1:41 PM

More Docs Plan to Retire Early

Six in 10 physicians said it is likely many of their colleagues will retire earlier than planned in the next 1 to 3 years.

Schadenfreude on March 22, 2013 at 1:41 PM

Y’all know better than to play with cat shit.

OhEssYouCowboys on March 22, 2013 at 1:41 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

Your Socialist brethren kept bleating over and over and over back in 2003 that, “dissent is the highest form of patriotism.”

If you are a conservative, well, then you better act like Bohenor and Bend Over, Here It Comes Again.

Myron Falwell on March 22, 2013 at 1:41 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

Just 6 minutes into this thread and you’ve failed already. Congratulations!

FAIL-

Del Dolemonte on March 22, 2013 at 1:41 PM

d1carter on March 22, 2013 at 1:40 PM

It’s already killing the elderly…

Scrumpy on March 22, 2013 at 1:41 PM

The Obama’care’ clusterfark

Schadenfreude on March 22, 2013 at 1:41 PM

……They’re going to pay for ObamaCare and all their new spending with TAXES FROM ILLEGALS after they grant them Amnesty.

Fly in the ointment on that one though……if you’re here illegally and you’re already loaded with benefits why would you want to pay taxes?

Welcome to TEATERMERICA 2013!!

PappyD61 on March 22, 2013 at 1:41 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

Your nom s/b nobrain

Schadenfreude on March 22, 2013 at 1:42 PM

rooting against the country used to be considered unpatriotic…

nonpartisan on March 22, 2013 at 1:31 PM

Not according to Hillary Clinton and Harry Reid during the Bush Administration. But you Low-IQ Democrats have short memories.

Del Dolemonte on March 22, 2013 at 1:42 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

No one is rooting against the country. We just think that Otaxacare is extremely bad for the country and are rooting against that. What happened to dissent is the highest form of patriotism? You must’ve missed that memo.

chemman on March 22, 2013 at 1:43 PM

I’m hoping for it to fail…

d1carter on March 22, 2013 at 1:43 PM

They’re not. They want it to go down in flames as an epic disaster, but only after the entire insurance industry is a shambles as well. Then enter Single Payer.

CurtZHP on March 22, 2013 at 1:31 PM

Beautiful. I wish I had written that.

When people tell you that you are nuts, tell them some jerk online wrote that several far left people bemoaned this whole process by our POTUS.

They called the whole Fox gang liars since this is NOT what they call a takeover. Dr. K was really nailed by them.

They really want single payer and then government employment of all healthcare providers.

I will not use the word ownership since they don’t really figure any property rights into any analysis.

IlikedAUH2O on March 22, 2013 at 1:44 PM

Massive tax increases is exactly what they want.

Tyranny isn’t always at the tip of a bayonet.

The power to tax, is the power to control.

The Supreme Court vis-a-vis Roberts, acknowledged that in its CommieCare decision.

It’s all about control.

OhEssYouCowboys on March 22, 2013 at 1:39 PM

They could not take out the Bush tax cuts for almost 99% of the population and you are telling me that they will be able to increase $ 5,000 a year on each taxpayer?… I hope they try it because first they are going to fail and second they are going to lose elections for the next 20 years…

mnjg on March 22, 2013 at 1:45 PM

This is the equivalent of TSA running nationwide healthcare…good times!

d1carter on March 22, 2013 at 1:45 PM

Scrumpy on March 22, 2013 at 1:41 PM

There’s no proof. Correlation isn’t causation. How old were they?

nonpartisan on March 22, 2013 at 1:46 PM

ooting 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

Hitler used to say “I am the nation!”

I think we can still separate some gov’t programs from the overall success of the country or even this administration.

Or have the rest of us missed a memo?

IlikedAUH2O on March 22, 2013 at 1:47 PM

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.”

You know why Travelocity works? Because it’s a private company and if they don’t turn a profit they go out of business and if their employees don’t create a good product THEY GET FIRED.

Yeah, tell me how government can be like Travelocity again …

PackerBronco on March 22, 2013 at 1:47 PM

“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.”

We will all be beta testers — so, whatever you think a third-world experience is, expect this one to be far worse….

unclesmrgol on March 22, 2013 at 1:47 PM

mnjg on March 22, 2013 at 1:45 PM

Apparently, you don’t understand the Communist mindset. Allow me to educate you:

The way to crush the bourgeoisie is to grind them between the millstones of taxation and inflation.

– Vladimir Ilyich Lenin

With Obama, you have witnessed the dawn of Marxist control.

But, you haven’t seen anything, yet.

OhEssYouCowboys on March 22, 2013 at 1:51 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

You’re absolutely right, for once. You got him figured out to perfection. He roots against the land, every time.

Roothing for Obama’care’ is rooting against the country. Hopefully your tiny brain will figure it out.

Schadenfreude on March 22, 2013 at 1:52 PM

nonpartisan on March 22, 2013 at 1:46 PM

At this point, what difference does it make HOW OLD THEY WERE!

Is that all you got!

I hope no one you know and love is on Medicare.

Scrumpy on March 22, 2013 at 1:52 PM

Roothing = rooting

Schadenfreude on March 22, 2013 at 1:52 PM

Mr. Smith, the Doctor will see you now!

Bulletchaser on March 22, 2013 at 1:53 PM

nonpartisan on March 22, 2013 at 1:46 PM

If you had even a smattering of information about what is going on in the NHS in Britain right now you’d be frightened out of your wits and praying that Obamacare fails.

We’ll give you the same consideration and compassion and stand around and make that same remark you were just stupid enough to post… when YOU become on of those Medicare patients… and a STATISTIC.

thatsafactjack on March 22, 2013 at 1:54 PM

Scrumpy on March 22, 2013 at 1:52 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

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

The country used to be considered, you know, the country, not the party in power. I guess that changed when Obozo took office. NOBODY missed that memo; we just refuse to buy it. One fine day, everyone will know again that the country is US, not the damn Democrats. We have said, a majority of us, from the start of this healthcare takeover, that WE DON’T WANT IT. A majority still says that. So just who are you calling ‘the country’, there, chief?

Dirty Creature on March 22, 2013 at 1:56 PM

Bulletchaser on March 22, 2013 at 1:53 PM

Come to think of it, our chances with a Shaman/Witchdoctor might give us better odds for survival! ;-)

Scrumpy on March 22, 2013 at 1:56 PM

But, you haven’t seen anything, yet.

OhEssYouCowboys on March 22, 2013 at 1:51 PM

Your IQ must be around 105 :)

Schadenfreude on March 22, 2013 at 1:56 PM

Perhaps a redundant remark but I have lengthy experience building and implementing complex intergovernmental systems of this sort. This effort cannot be done successfully and on time. This is a certainty. Now what?

Mason on March 22, 2013 at 1:56 PM

thatsafactjack on March 22, 2013 at 1:54 PM

I plan to never depend on medicare.

nonpartisan on March 22, 2013 at 1:57 PM

thatsafactjack on March 22, 2013 at 1:54 PM

Good lady, here’s hoping that it won’t happen. HA w/b deprived of much ‘entertainment’.

Schadenfreude on March 22, 2013 at 1:57 PM

We can always count on the John Roberts and SCOTUS to preserve our liberty…yeah!

d1carter on March 22, 2013 at 1:57 PM

nonpartisan on March 22, 2013 at 1:55 PM

Obviously you have issue with comprehension, go back and read it again…

First hand knowledge isn’t enough for you?

From an insider?

No, it never is, I have met prog/libs like you before…

Nothing I would cite would change your mind.

If it was my comment I would back it up, but since it isn’t, I can’t.

Scrumpy on March 22, 2013 at 1:58 PM

Your IQ must be around 105 :)

Schadenfreude on March 22, 2013 at 1:56 PM

I wish that my brain was mired in the cesspool of stupidity. So I could go through my day without lamenting the rotting of my country.

OhEssYouCowboys on March 22, 2013 at 1:59 PM

OhEssYouCowboys on March 22, 2013 at 1:59 PM

Prepare and honey badger. Free people are free to self-destruct.

Schadenfreude on March 22, 2013 at 2:00 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

Oh, so you think Obama as all the best interests for the country, do you? Just drop the “nonpartisan” pretense. I’ve never seen you utter a cross word about liberalism, but you sure seem to have problems with conservatism.

Bitter Clinger on March 22, 2013 at 2:00 PM

The MI state legislature adjourned yesterday before approving the funding to pay for the set up of a joint fed/state exchange that the guv proposed. The deadline is 4/1 for states to do this with the 4x higher fed bribe money for Medicaid on the table. The legislature doesn’t go back to work until after this deadline. So it looks like MI has thwarted obamacare. Remember, they screwed up when the law was written.

Those arrogant idiots assumed all states would have state run exchanges, and the penalties only kick in if someone gets insurance through a state run exchange. So states refusing to run their own exchanges have thwarted the penalty enforcements in the law.

karenhasfreedom on March 22, 2013 at 2:02 PM

Bitter Clinger on March 22, 2013 at 2:00 PM

It doesn’t mean “nonpartisan in politics” – it is a leftist rat in the crappiest latrine. It means “nonpartisan, like the ones in the former Yugoslavia”.

Schadenfreude on March 22, 2013 at 2:02 PM

I plan to never depend on medicare.

nonpartisan on March 22, 2013 at 1:57 PM

Ha!! The Left that you hold dear will never let you get rich enough to escape the need to depend on Medicare.

Bitter Clinger on March 22, 2013 at 2:03 PM

State by state…some in flux, like MI.

Schadenfreude on March 22, 2013 at 2:04 PM

It doesn’t mean “nonpartisan in politics” – it is a leftist rat in the crappiest latrine. It means “nonpartisan, like the ones in the former Yugoslavia”.

Schadenfreude on March 22, 2013 at 2:02 PM

Yeah, the lovers of eternal “five year plans”.

Bitter Clinger on March 22, 2013 at 2:05 PM

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

And, here I was, hoping it might actually stay a first-world experience. Silly me. Talk about lowering the bar!

GWB on March 22, 2013 at 2:08 PM

The scary thing is that our pilot has already shown an unintended consequence of the new law…

According to the numbers we’re seeing, our approach is somewhat helpful in preventing readmissions. When we dug deeper into the numbers, we found out why it wasn’t as helpful as we were expecting…

Instead of getting dramatically higher readmits out of the control group, many Medicare patients were simply dying off within 30 days of discharge!

dominigan on March 22, 2013 at 10:17 AM

Scrumpy on March 22, 2013 at 1:33 PM

Unintended — you sure..?

affenhauer on March 22, 2013 at 2:10 PM

For nonpartisan:

dominigan is right on the money with the study being done by the entity that he/she works for… unintended consquences…

Read On!!

http://www.hospitalmedicine.org/AM/pdf/advocacy/CRS_Readmissions_Report.pdf

On March 23, 2010, President Obama signed into law comprehensive health care reform
legislation, the Patient Protection and Affordable Care Act (PPACA; P.L. 111-148), as amended
by the Health Care and Education Reconciliation Act (HCERA; P.L. 111-152). The legislation
contains a number of provisions that make changes to Medicare. Among these are provisions
intended to reduce preventable hospital readmissions by reducing Medicare payments to certain
hospitals with relatively high preventable readmissions rates. Other provisions include
demonstrations and pilots that test reforms to the Medicare payment system for hospitals and
other providers. And still others test improvements to patient care for people with chronic
illnesses during the initial hospital stay, as patients transition out of the hospital, and while
patients reside in home, community-based, Medicare post-acute care, and long-term care settings.

Scrumpy on March 22, 2013 at 2:11 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

Wrong word. We are expecting it to fail. It’s sort of like telling your kid not to touch the stove because they’ll get burned, and then, after one gleeful look at you — they touch it!

“I told you not to touch the stove!”

“But you didn’t say it would be hot.”

“I said you’d burn yourself.”

“That’s not the same thing.”

Heh.

unclesmrgol on March 22, 2013 at 2:11 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 plan to never depend on medicare.

nonpartisan on March 22, 2013 at 1:57 PM

That’s rooting against your country by refusing to depend on its government for your future needs.

rooting against the country used to be considered unpatriotic…

nonpartisan on March 22, 2013 at 1:31 PM

Dissent is the highest form of patriotism.

Del Dolemonte on March 22, 2013 at 2:13 PM

You know why Travelocity works? Because it’s a private company and if they don’t turn a profit they go out of business and if their employees don’t create a good product THEY GET FIRED.

Yeah, tell me how government can be like Travelocity again …

PackerBronco on March 22, 2013 at 1:47 PM

Instead of getting fired for their failures, the unelected, faceless government bureaucrats would demand more money, more power, and less oversight. Free market rules do not (and never will) apply to government forces. Leftists don’t understand this because their ideology is based on economic illiteracy.

visions on March 22, 2013 at 2:14 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

Yes, I’m rooting against my country just like Winston Churchill was rooting against Britain. “How DARE he suggest that the peace treaty was worthless! How dare he want our prime minister to fail!”

We don’t want Obamacare to fail. It might be easier if we could have better service and lower prices if only the benevolent government stepped in and took over.

However, we know and have said, REPEATEDLY, it won’t work. It is against the nature of man for it to work in the long run, anywhere (and it is slowly failing in the socialist countries) and especially unable to function in a society built as ours is. A relatively efficient bureaucracy, driven by years of tradition would make it run better and longer before it failed (as in Europe) but we don’t even have that. We are doomed to worse care and higher prices as a result of this foolish monstrosity.

Wishing it were not so (as you do) won’t change that. And no, “the power of good intentions” isn’t going to make everything magically work. It will be a trainwreck and will drive our country faster to over precipice of insolvency.

I don’t cheer Obamacare’s failure. I weep for the failure of our country it is speeding along.

makattak on March 22, 2013 at 2:14 PM

[the exchange technology] 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.

What could possibly go wrong?

Happy Nomad on March 22, 2013 at 2:15 PM

affenhauer on March 22, 2013 at 2:10 PM

I cannot comment for dominigan…

But yeah, unintended alright…/s

Scrumpy on March 22, 2013 at 2:15 PM

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

It was criminally pushed through by a third world Indonesian who thinks he’s the reincarnation of Sukarno and hates America and the West. Why would anyone think this would be anything but a third-world experience? America VOTED for a third-world experience. Twice.

ThePrimordialOrderedPair on March 22, 2013 at 2:17 PM

Watch in awe as Obamacare transforms before your very eyes from a superb medical system to “good enough for government work.”

NavyMustang on March 22, 2013 at 2:17 PM

I plan to never depend on medicare.

nonpartisan on March 22, 2013 at 1:57 PM

After the age of 65, you WILL depend on medicare. No health insurance provider insures anyone over the age of 65 as primary — they write the policies so that Medicare is primary and they are a secondary payer.

Now, that thought aside, Medicare is, in many ways, where the left wants to take healthcare — single payer provisioning. Why would you not want to be part of that brave new world?

unclesmrgol on March 22, 2013 at 2:18 PM

a third world Indonesian who thinks he’s the reincarnation of Sukarno and hates America and the West. Why would anyone think this would be anything but a third-world experience? America VOTED for a third-world experience. Twice.

ThePrimordialOrderedPair on March 22, 2013 at 2:17 PM

And don’t forget that O’bama was also raised in Hawai’i, where no doubt his mother and grandmother read him bedtime stories about how the evil White Americans came to the islands and overthrew a legitimate Hawaiian Monarchy.

In fact, I’ve no doubt O also thinks he’s the reincarnation of one of those Hawaiian Kings. Especially since they ate dogs too.

Del Dolemonte on March 22, 2013 at 2:20 PM

nonpartisan on March 22, 2013 at 1:57 PM

That’s because you’re ‘rooting’ for the end of Medicare and a single payer system. What you’re hoping to depend upon is a system identical to the NHS where it has been determined that a MINIMUM of 20,000 patients died from sheer neglect and abuse in NHS TRUST HOSPITALS over the last decade, 1200 of them recently at one such hospital alone.

When I say neglect and abuse, I’m talking about patients, some of them children, died of THIRST because no one would bring them a glass of water. I’m talking about the testimony of a ‘nurse’ who ignored the pleas for help coming from a woman’s room and the woman died… because her head was stuck between the bars of her bed. I’m talking about people lying in soiled bed linens because staff didn’t care to change them… in the intensive care unit.

This, of course, doesn’t begin to address the 130,000 plus patients consigned to THE LIVERPOOL PATHWAY, wherein, without even telling half of them or their families, the elderly and disabled, including children, were drugged into a coma, deprived of medical treatment, food and water, until they died. One nurse broke down in tears on the witness stand because she had cared for a 14 year old boy who had cancer and watched as it took him two weeks to die on the Liverpool Pathway. She said when he finally died, his tongue was black and swollen from thirst and stuck to the roof of his mouth. The Liverpool Pathway is ordered by doctors who determine that a critically ill patient “only has four days to live”. Further, some physicians, who still believe in their Hippocratic oath, have interceded and removed patients from this “Pathway” and those patients have recovered. Of course, it cost the state money for them to recover and provide for their care, which is why the Liverpool Pathway was begun… to cut cost of care and free up bed space in institutions.

If you think you’ll be able to buy private insurance and Obamacare and Medicare won’t apply to you, you need to pay more attention to what Obamacare was designed to do, and the system upon which it has been modeled. You won’t be allowed to buy private insurance, because the program is designed to destroy private insurance companies which would be necessary to GET to single payer. Those that might still exist would be obliged to require premiums so high that simply paying for your own care in a concierge service would be a better deal. Why do you think those from foreign nations who have means, including the BRITS and CANADIANS, come to the US for treatment when they are seriously ill?

Finally, the system that you’re rooting for, single payer, will provide less and less treatment at a declining quality rate. This will be exacerbated because the nation is about to extend amnesty to a second wave of illegal immigrants, adding million upon millions to the health care roles at a time when we already have a shortage of doctors and highly skilled medical technicians. Everyone knows that to grant a second amnesty will virtually insure that there will be a continual stream of illegal aliens into this nation, who will, in turn, wait for their amnesty. Since single payer will make it unfeasible for those who would have pursued a medical career to do so, taking on enormous student debt and spending 10 years of their life to attain that goal, there will be fewer doctors and highly skilled technicians entering the system. There simply will not be enough doctors to provide adequate care to the population.

thatsafactjack on March 22, 2013 at 2:21 PM

Scrumpy on March 22, 2013 at 2:11 PM

Commenting on myself…lol…

Anyway! Improvements? I think not…

But nonpartisan as MKH just told you, quote:

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.

Unquote…

The all powerful high and mighty gov’t DOESN’T always know whats best for anyone, EVER!

All it is good at is meddling, and making ‘criminals’ out of good people…

Scrumpy on March 22, 2013 at 2:21 PM

In fact, I’ve no doubt O also thinks he’s the reincarnation of one of those Hawaiian Kings. Especially since they ate dogs too.

Del Dolemonte on March 22, 2013 at 2:20 PM

Fried chi-hua-hua and royal dictats:

Mmmmm … mmmmm … mmmm

ThePrimordialOrderedPair on March 22, 2013 at 2:23 PM

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

nonpartisan on March 22, 2013 at 1:27 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

There is no reasonable expectation that Obamacare will operate as promised. We already know that it will be far more expensive than the rat-eared devil claimed. We know that the rat-eared devil was a liar when he said that if we like our provider, we can keep our provider. In short, Obamacare is on a failed trajectory no matter if you are rooting for America (and Americans) or if you are rooting for the filthy rat-eared devil and the enemies of America.

If anything it is super-patriotic to be against Obamacare because it so clearly harms virtually every American without exception. Why wouldn’t anybody who loves this country support only that which does good? Why don’t you? You filthy worthless concern troll?

Happy Nomad on March 22, 2013 at 2:24 PM

unclesmrgol on March 22, 2013 at 2:18 PM

Thank you for that eye opening clarifcation!!

I wonder if nonpartisan is paying attention!!

Nah… it’s prolly run away already…

Watch it’s synapses explode!! (insert evil sinister laugh)… ;-D

Scrumpy on March 22, 2013 at 2:24 PM

Axelturd is drawing a huge deficit with nonpartisan. It might get fired.

Schadenfreude on March 22, 2013 at 2:24 PM

Schadenfreude on March 22, 2013 at 2:24 PM

Like I am gonna cry… (evil laugh)…

Scrumpy on March 22, 2013 at 2:26 PM

Let it crash, Rev; Let it crash!

Another Drew on March 22, 2013 at 2:26 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

That’s gonna leave a mark.

Bitter Clinger on March 22, 2013 at 2:31 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

I don’t care if BarkyCare brought heaven on Earth. It’s un-Constitutional and a meddling by the feral government in places where IT DOES NOT BELONG and is not allowed to go. Period. It must be repealed in full.

The fact that it is going to fail (and everyone always knew it would, especially the dbags who pushed it while they crowed about moving towards single-payer) is just par for the course for leftist schemes. ALl of your ideas are total and complete failures. You people love that, though, because you take the failures of your own idiotic policies as an oppurtunity to push them even further.

Anyone who didn’t laugh like crazy when the feral government claimed that it was going to push tens of millions into the system while retaining the same level of services for everyone else and making it all cheaper at the same time is a total idiot. People like you. But, I guess you’re excited to have your “premiums reduced by 3000%!!”

ThePrimordialOrderedPair on March 22, 2013 at 2:31 PM

You’re hoping for it to fail aren’t you, Ms. Ham?
nonpartisan on March 22, 2013 at 1:27 PM

It won’t be her fault when it does, genius.

One needn’t be much smarter than you to see it was built to fail.

Akzed on March 22, 2013 at 2:31 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

We’re rooting against unrestrained socialism. Wake up.

dogsoldier on March 22, 2013 at 2:38 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

The sooner it fails, the sooner we can move towards a solution. So speaking for myself: Yes, I hope it fails, and quickly. And it will fail, there’s no economic, organizational, or technological way it can actually work.

Unfortunately, the solution is probably going to be single-payer. And after a decade or so of that, perhaps the people will not be so keen on having the government rationing their health care. Perhaps.

ZenDraken on March 22, 2013 at 2:38 PM

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

nonpartisan on March 22, 2013 at 1:27 PM

Why are you so eager to hope it succeeds?

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

You’re an insufferable fool. Rooting for Obamacare to fail stands in diametric opposition to rooting for the country to fail. We can not have both – they are mutually exclusive.

We want America, you don’t.

Washington Nearsider on March 22, 2013 at 2:41 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

No, cupcake. 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.’

THAT is what changed when Obama ascended to the White House. Dissent is now racism. Opposing the administration is now rooting against America.

Cults of personality don’t typically end well. Do try to brush up on your history.

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

nonpartisan on March 22, 2013 at 1:27 PM
Mary Katharine Ham on March 22, 2013 at 2:13 PM

Smakked down hard by a girl!

Akzed on March 22, 2013 at 2:44 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

LOL. Barky is as anti-American as you can get.

Violating the Constitution, criminally bribing representatives, illegally using reconciliation for a non-existent law that isn’t even a deficit reducing one (when it finally does poof into existence), and lying to the American citizenry in every way, shape and form about all this criminal and un-Constitutional action is a body blow to the nation like none before. That sort of nation killing by your third-world “little Jakarta street kid” with the 84 IQ and a burning hate of all things Western is what you and your ilk push. You people are the very definition of “unpatriotic”, as you well know.

Of course, you and your ilk are very respectful and nurturing of the American Socialist Superstate with the retarded Sukarno copy issuing royal dictats from the all-powerful Oval Office. You people yearn for Rule From Above, By Whim Of The Royal. That isn’t America. That is the opposite of America. You people should have moved to the USSR when it was alive. I’m sure you cried like a baby when it fell.

ThePrimordialOrderedPair on March 22, 2013 at 2:48 PM

Instead of getting fired for their failures, the unelected, faceless government bureaucrats would demand more money, more power, and less oversight. Free market rules do not (and never will) apply to government forces. Leftists don’t understand this because their ideology is based on economic illiteracy.

visions on March 22, 2013 at 2:14 PM

Yep. Because it has worked so well for education, the TSA, banks, the Post Office, and the Department of Motor Vehicles.

Lily on March 22, 2013 at 2:49 PM

You people should have moved to the USSR when it was alive. I’m sure you cried like a baby when it fell.

ThePrimordialOrderedPair on March 22, 2013 at 2:48 PM

Given the knowledge and intelligence he has displayed, I’d have assumed he is too young to remember what you’re referencing.

Washington Nearsider on March 22, 2013 at 2:50 PM

Given the knowledge and intelligence he has displayed, I’d have assumed he is too young to remember what you’re referencing.

Washington Nearsider on March 22, 2013 at 2:50 PM

Yeah. You’re probably right.

ThePrimordialOrderedPair on March 22, 2013 at 2:52 PM

Obamacare was written to ensure a third-world experience.

tom daschle concerned on March 22, 2013 at 2:53 PM

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