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FarCenter

(19,429 posts)
Fri Oct 18, 2013, 11:42 PM Oct 2013

Republicans hammer Sebelius as problems mount for ObamaCare site

Republicans are training their sights on Kathleen Sebelius as they prepare to hammer ObamaCare's rocky rollout.

The Health and Human Services (HHS) Secretary is under intense scrutiny as ObamaCare's enrollment system continues to face severe problems.

The online portal where millions are meant to sign up for health insurance remains only semi-functional three weeks after its debut.

Health insurance companies say they're receiving sloppy and incomplete applications for coverage as a result of the system's troubles.

And HHS is not saying how many people have successfully signed up for coverage, leading many to conclude the figures have been disappointing.



Read more: http://thehill.com/blogs/healthwatch/health-reform-implementation/329313-obamacare-problems-mount
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TwilightGardener

(46,416 posts)
1. It is always the cabinet secretary's job to deliver bad news and give an honest assessment
Fri Oct 18, 2013, 11:46 PM
Oct 2013

of situations and problems to the President--did she do that? Or did she gloss over problems and tell the President everything was hunky-dory and ready to go? That, to me, is the deciding factor on whether or not she should turn in her resignation.

 

FarCenter

(19,429 posts)
3. Sibelius wouldn't have had a clue -- too high up the food chain.
Sat Oct 19, 2013, 12:01 AM
Oct 2013

The Secretary would probably be getting status from the CIO Frank Baitman and others:

There were even earlier causes for concern. Back in March, concerns about the funding levels for the program prompted Baitman and HHS management to rate the program as "high risk"—giving it a score of 1 out of 5. In June, the Government Accountability Office, the nonpartisan auditing body that provides oversight reports to Congress, said that it was still a crapshoot as to whether the system would work on time. This uncertainty persisted because the hub being built by QSSI still hadn't been completely tested (the hub is responsible for making automated decisions about eligibility). While the policies to govern how the hub works—and how various state systems were supposed to work—had been completed, there was still a lot of code to be written to make those policies into an actual system.

All of that pushed the development of the system closer and closer to the deadline. As one reddit user posted when the site ran into trouble on October 1, "My wife works on this project but not as a developer. Last night she said, 'I have no idea how the site is going to go live tomorrow.'"


http://arstechnica.com/information-technology/2013/10/obamacare-site-hits-reset-button-on-passwords-as-contractors-scramble/

TwilightGardener

(46,416 posts)
4. I don't know, I think a good manager would know what was happening.
Sat Oct 19, 2013, 12:11 AM
Oct 2013

Not necessarily technical details, but certainly broad timeframes, problems, delays, contractors not delivering. It may be that she told the WH the system wouldn't be ready, and they told her "Make it ready, we're not changing the dates"--in which case she shouldn't be scapegoated.

 

FarCenter

(19,429 posts)
5. Why HealthCare.gov, the Obamacare Website, Doesn’t Work
Sat Oct 19, 2013, 12:14 AM
Oct 2013
Even so, HealthCare.gov may have been destined to slip up simply because it was made by the U.S. government. As Slaby and other technologists see it, there are bigger forces behind the flaws of HealthCare.gov than just complexity and timing. The first is procurement law. “It’s very, very hard to buy things in government,” Slaby says. “Now, it should be hard. I want the government to be more restricted and not as nimble and fly-by-the-seat-of-our-pants as the campaign was, because it’s the government. They can’t mess up.

“But because they’re not allowed to mess up we’ve created a system where it’s also very hard for them to do things that are new and innovative. The rules all favor incumbents. The people who get the job are not necessarily the people who are good at delivering a website. They’re mostly just government contractors who are really, really good at the system. Then they subcontract, and that makes the process even more complicated. It’s very hard to build technology by committee.”

Washington’s employment rules aren’t helping matters, either. “It’s also very, very hard to hire and fire people in government,” Slaby says. “A lot of the technical staff have been there for a really long time, and a lot of the technical infrastructure that they’re working with is older. Most of the stuff inside government is not awesome, cutting-edge, cloud-based, and responsive. The skills we really want are not all that present in the incumbent system, and they’re very hard to go out and get.”
http://www.thedailybeast.com/articles/2013/10/18/why-healthcare-gov-the-obamacare-website-doesn-t-work.html

bluestate10

(10,942 posts)
6. Sibelius was a Governor, although for a smaller state. She has experience with bringing together
Sat Oct 19, 2013, 12:33 AM
Oct 2013

pieces to make a whole. My guess is that the scope of implementing the AC is the problem. The FEDs are trying to do implementation work for 31 states with republican governors in most of those states actively trying to defeat implementation. Given the politics that republicans have played since the ACA became law, EVERYONE in the Obama Administration should have worked their asses off to make implementation as glitch free as possible. The administration could be a little more forthcoming on what the problems are and the extent of the problems, but given republicans making big issues out of even the smallest problems, I can see the administration's desire to fix the problems free of noise.

TwilightGardener

(46,416 posts)
7. I fully agree that it must have been a very difficult undertaking, and many people (including
Sat Oct 19, 2013, 01:10 AM
Oct 2013

Sebelius and that other lady who is head of Medicare) probably worked their asses off. That said, once it became clear that the product they were about to deliver wasn't going to meet the goal of a giant health care free-for-all marketplace, I think they should have scaled something back. Either change the date of launch or enrollment periods, or declare a month of testing with very limited enrollment done in stages, or let the states with exchanges launch first and see how that goes, gather info and practice from that, and delay the mandates and fines for states with no exchanges. Lower expectations to match what you can actually deliver, no matter how much GOPers try to cause political trouble.

frazzled

(18,402 posts)
2. Why should they care if they hate the law and want it to fail?
Fri Oct 18, 2013, 11:56 PM
Oct 2013

Honestly, this is just the new Bengazi.

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