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CTyankee

(63,912 posts)
Fri Oct 18, 2013, 08:46 AM Oct 2013

"Medicare had a messy rollout, too"

"There are rumblings that the glitches attending the rollout of the Affordable Care Act -- along with the relentless campaign to sabotage or delay it in numerous states -- mean the program is dead on arrival. But the history of an equally controversial and vast government effort, Medicare, indicates that predictions of Obamacare's demise are greatly exaggerated...

"For starters, few in the government seem to have realized that more than 45 percent of those born between 1890 and 1920 couldn’t prove their age because they lacked birth certificates. While the government accepted other documentation such as military records or naturalization records, some pretty unorthodox records ended up being used . The New York Times reported that in one case, a man “bared his chest as a last resort. Tattooed there was the date of his enlistment in the Navy and the date of his birth.” Another applicant dug up his mother’s tombstone and carted into the local office, arguing that it constituted proof of his age. This, too, was accepted.

"In the fall of 1965, millions started to enroll, no doubt aided by the reasonable ease – perhaps too easy – of proving one’s age. But ignorance of how the law actually worked became a serious problem by that time. More than 700,000 of those eligible for supplemental coverage refused to sign up in the opening months. Despite an elaborate public-relations campaign featuring celebrities such as Jimmy Durante and Bob Hope, and a door-to-door effort by canvassers who sought out the elderly at home, many older people believed that signing up for Medicare meant they would cease receiving Social Security. Others thought they couldn’t afford the $3 monthly premium, even though the law had provisions to assist low-income enrollees..."

More here: http://www.bloomberg.com/news/2013-10-15/medicare-had-messy-rollout-too.html

A great history! It's all happened before, folks. And today, woe be to any politician who tries to take Medicare away...

9 replies = new reply since forum marked as read
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Atman

(31,464 posts)
1. Thank you, from a fellow Nutmegger.
Fri Oct 18, 2013, 08:50 AM
Oct 2013

Just shared on Facebook. It ought to rile up my Republican friends.

CTyankee

(63,912 posts)
4. It was syndicated in the New Haven Register yesterday...
Fri Oct 18, 2013, 08:52 AM
Oct 2013

So I'll bet it's in lots of local newspapers. The Register has been less RW lately. The owners prolly see the handwriting on the wall...

liberal N proud

(60,336 posts)
2. What people fail to understand about systems roll-outs
Fri Oct 18, 2013, 08:50 AM
Oct 2013

"There will be bugs and problems"

No one ever seems to understand the complexity of rolling out electronic systems, databases of any new software. You can only test so much and there are always scenarios that cannot be tested for.

I am confronted with this every time I roll-out a new program or update a database. They users throw a fit when one little thing goes wrong or there is system downtime in the early stages of the release.

Again: "There will be bugs and problems"

CTyankee

(63,912 posts)
6. They were talking about the problems on MJ today. Gibbs pointed out that this is not like iTunes
Fri Oct 18, 2013, 08:57 AM
Oct 2013

where you can upload the latest music album. These transactions are extremely complex.

All I can point to is the ease with which I enrolled in SS/Medicare. But I called a toll free number (this was 9 years ago). My call was answered quickly and handled knowledgeably by a well trained enroller. I was dreading a long, drawn out wait and lots of stumbling blocks on the way. I was delighted with the experience, tho!

enough

(13,259 posts)
5. A lot of very interesting history in that article.
Fri Oct 18, 2013, 08:56 AM
Oct 2013

another snip>

As the date for Medicare's formal beginning approached, more serious problems cropped up. The most serious was a campaign by many doctors to boycott the program. In the months leading up to the final legislative debates, and after, the American Medical Association faced a revolt in its ranks over the issue, though it reluctantly endorsed cooperation. The Association of American Physicians and Surgeons, organized to combat “socialized medicine,” came out against the law, urging “nonparticipation.” The organization predicted that 50,000 doctors nationwide would refuse to play ball.

Most doctors didn't end up boycotting Medicare. The real threat came from elsewhere. Because Medicare involved federal aid to the states, participating institutions had to comply with Title VI of the Civil Rights Act of 1964, which banned racial discrimination. Hospitals in the South, which segregated patients by race, initially refused to comply with the law. As conflicts between hospital administrators and the federal government intensified, the president of the Louisiana Hospital Association put the matter bluntly: “It’s the requirement that Negroes and whites be permitted to share the same hospital room,” he warned. “I don’t know what the hospitals will do but I hear that some of them don’t see how they can comply.”

Some hospitals didn’t: when Medicare began on July 1, 1966, large swaths of the hospital system in the South remained segregated. Despite appeals by President Lyndon Johnson on television and radio, three-fourths of the hospitals in Mississippi couldn't accept Medicare patients when the program went into effect. Entire cities in the region -- Selma, Alabama, and Macon, Georgia -- had no hospitals eligible for Medicare.

snip>

kydo

(2,679 posts)
7. I know thats why when I hear
Fri Oct 18, 2013, 08:58 AM
Oct 2013

about all the problems this is either having, causing and will cause, I roll my eyes and ignore most of it.

I'm not ignoring that there were and probably will be problems. But name me one thing ever created by humans that from day one was perfect, nothing was wrong even the tiny stuff, everyone loved it from the first second. There isn't any example of that, so why are people excepting this to roll out 100% spot on. It was an unrealistic thought to think it would happen. Yes it could have been better but it wasn't the worst roll out of something.

One other thing about the ACA like most things in the world, you either be part of the problem or part of the solution. I tend to lean toward finding solutions not just complaining about the problem over and over and over.

Good OP it does prove we have been here before and it did not destroy the world, whew.

CTyankee

(63,912 posts)
8. Thanks. I thought it was excellent, too.
Fri Oct 18, 2013, 09:03 AM
Oct 2013

I'm old enough to remember the early days of the space program. I remember those rockets at Cape Canaveral with hundreds of cameras on them, sputtering spectacularly on the launching pad. BIG fail! People thought the whole idea of space travel, esp. in the days leading up to the early suborbital flights, was ridiculous and a stupid waste of money and time!

Nowadays, folks take their cell phones for granted and don't realize all the work done by NASA in the launching of satellite technology...

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