That’s a dangerous combination but that pretty aptly describes the ObamaCare roll out (ObamaCare is a name that the administration and Democrats would now like to distance themselves from).
It seems now that “no one knew” that the roll out was going to be a disaster because, well, no one knew. Gee, maybe they should have asked the IT guy:
A key player in the development of the Obamacare website said Tuesday that up to 40 percent of IT systems supporting the exchange still need to be built.
The revelation from Centers for Medicare and Medicaid Services Deputy Chief Information Officer Henry Chao occurs as the administration works to meet its Nov. 30 deadline to shore up the website.
40% of the supporting systems … still need to be built?!
And no one knew? That’s freaking mindboggling. You have a system that is 40% incomplete, you’re the head of a department charged with rolling out the system and you don’t know it’s not even close to being ready?
“It’s not that it’s not working,” Chao told lawmakers at an Energy and Commerce oversight subcommittee hearing. “It’s still being developed and tested.”
Phenomenal. If incompetence could be bottled, this administration could corner the market.
Financial management tools remain unfinished, he said, particularly the process that will deliver payments to insurers.
The update hits hardest at Democrats, hopeful that the system would function smoothly by the end of the month.
Chao said that the consumer portion of the website, including account registration, plan shopping and enrollment functions, won’t be affected by the ongoing development effort, but that “back office” functions including accounting and payment systems were not yet complete.
Did this boob tell anyone? And if he did, didn’t they listen? How do the insurance companies get paid? And until they are, how can any insurance plan go into effect?
My goodness … why wasn’t Chao sounding the alarms?
Oh, wait, see, he really didn’t know either:
He also told lawmakers he didn’t see a spring report that warned of potential stumbles and foreshadowed many of the problems that thwarted the website’s launch.
“I was aware some document was being prepared,” he said, but had no knowledge of a report until it was leaked to The Washington Post and obtained by POLITICO.
Chao told the House Energy & Commerce oversight subcommittee that he may have answered questions for the study but was not involved in any briefings on it.
The report, which independent consulting firm McKinsey conducted for CMS, described a process that relied too heavily on outsider contractors, didn’t provide enough time for complete testing and failed to hand authority to one decision maker. Chao’s limited knowledge of the report feeds lawmakers’ frustrations with the site’s fractured management and unclear controls.
These are the people who would run your healthcare (and everything else in you life if you’d let them) and make it both cheaper and better (and a good number of Americans swallowed that snake oil and ordered another bottle).
Oh, by the way, speaking of trust in government, did you know the jobs numbers were faked by the Census Bureau on the eve of the 2012 election?
Three primarily political reasons drove the Obama concession yesterday to allow insurance companies to continue to cover customers whose plans don’t meet ObamaCare standards. And none really had anything to do with doing what was right for the citizenry. He wasn’t really doing anyone any favors except Democrats. He was, as usual, focused solely on limiting political damage.
One reason that drove the concession was the usual – an attempt to start shifting the blame. As Megan McArdle points out:
This may be a near-perfect specimen of that Washington perennial: the nonsolution solution. Insurers are already warning that they can’t simply allow people to stay on their old plans, firstly because all plans have to be approved by state insurers who haven’t signed onto this, and secondly because getting their computer systems to reissue the canceled policies is a hefty programming task that may not be possible to complete by the end of the year. But that’s not the administration’s problem, is it? They can say, “Hey, we changed the rule — if your insurer went ahead and canceled your policy anyway, that’s not our fault!”
Blame shifting is as natural to this administration as breathing is to the rest of us. While they take more heat, they can now pass some of it off to insurers who were simply following the law as the Democrats and the administration had written it. Now they’re the bad guys. As you might imagine, the insurance industry is furious. And insurance regulators? Well, they’re left wondering what is what.
Reason number two for the concession was Congressional Democrat panic. Karl Rove has some thoughts on that:
Mr. Obama’s assertion in the NBC interview that “the majority of folks” whose coverage is canceled will “be able to get better care at the same cost or cheaper” is also likely to be false. The higher premiums that result from ObamaCare’s bells-and-whistles coverage mandates may be offset for some by subsidies, but most people will pay more.
This problem will get worse and poses a dilemma for Mr. Obama and Democrats. A March analysis by Healthpocket.com estimated that less than 2% of individual plans comply with ObamaCare’s mandates. A Nov. 7 study by McClatchy Newspapers suggests as many as 52 million people, including many covered by their employers, could lose their plan.
As the 2014 election approaches, these people will be (a) losing coverage or have lost it already, (b) shopping for new policies, (c) suffering sticker shock over higher premiums and deductibles and (d) wondering why Mr. Obama called their previous policy with doctors they liked “subpar.” Then, next September and October, they’ll be told about premium increases for 2015.
Democrats know this, and that is why they’re pushing so hard for a delay in these cancellations. They’re really not so much interested in a “fix” as they are in enough time to avoid the consequences of the law in 2014. So they’re very willing to grab this totally short-term political “solution” by kicking the can down the road in order to weather the 2014 midterms. By the time this rears its ugly head again in full, they’re hoping the elections will be over.
Again, this isn’t about people losing coverage. This is about Democrats losing office.
And finally the third reason was a real need to get out in front of the Upton bill in the House. Kimberley Strassel covers that:
The primary purpose of the White House “fix” was to get out ahead of the planned Friday vote on Michigan Republican Fred Upton’s “Keep Your Health Plan Act.” The stage was set for dozens of Democrats to join with the GOP for passage—potentially creating a veto-proof majority, and putting enormous pressure on Senate Majority Leader Harry Reid to follow suit.
The White House couldn’t risk such a bipartisan rebuke. Moreover, the Upton bill—while it lacks those GOP joy words of “delay” or “repeal”—poses a threat, since it would allow insurers to continue providing non-ObamaCare policies to any American who wants one. Democratic Sen. Mary Landrieu‘s version of the bill would in fact (unconstitutionally) order insurers to offer the plans in perpetuity. Both bills undermine the law’s central goal of forcing healthy people into costly ObamaCare exchange plans that subsidize the sick.
The president’s “fix” is designed to limit such grandfathering, but that’s why it is of dubious political help to Democrats. Within minutes of Mr. Obama’s announcement, several Democratic senators, including North Carolina’s Kay Hagan —whose poll numbers have plummeted in advance of her 2014 re-election bid—announced that they remain in favor of Landrieu-style legislation.
But it’s not going to happen. Obama has already said he’d veto the Upton legislation. There’s a message there for Mary Landrieu as well.
This was all about Barack Obama, as usual. It is a result of raw political calculation – his only seeming area of competence. He’s now managed a political solution which serves him about as well as any solution can in the mess he and his administration have made of this atrocious law. He’s found someone else to shift the blame too, he’s quieted Democrats, at least for the moment and he’s politically pre-empted a GOP move that would have seriously damaged his signature legislation and dumped his leadership and credibility ratings even lower.
For him, this is about as good as it gets.
Gallup, fresh of noting that President Obama’s trustworthiness and decisiveness have been found wanting, says the Affordable Care Act, which has never been popular, is now even more unpopular:
Americans’ views of the 2010 healthcare law have worsened in recent weeks, with 40% approving and 55% disapproving of it. For most of the past year, Americans have been divided on the law, usually tilting slightly toward disapproval. The now 15-percentage-point gap between disapproval and approval is the largest Gallup has measured in the past year.
That 15% gap shows a decided shift in popular opinion to the negative about the law. And say what Democrats might about running on this next election, they know as well as anyone that a 15 percent shift on any one issue is significant. Especially an issue to which they are the sole reason for its existence and therefore the sole party to blame.
The top three reasons given for disapproval were, “Government interference/Forcing people to do things” at 37%, “Increases costs/Makes healthcare less affordable” at 21% and 11% disapproved because they’d lost their insurance.
Of the three reasons, all of which are significant, perhaps the last one is the most significant. These are people who are likely to have nothing good to say about the law or the architects of the law. And because it effects them personally, may take political action (i.e. vote) to satisfy their anger. It may not be the most positive motivation in the world, but it can certainly be devastatingly effective.
The fact that the President is attempting to unilaterally thwart the provisions of his own law to save his and his party’s collective hides, notwithstanding, this is probably going to get worse before it gets better. Expect the insurance industry to consider lawsuits to kill the requirements. And there will likely be other legal challenges. Of course that will then let the White House do its favorite thing to do and attack and demonize them. But the only reason this predicament exists is a result of the Democratic party’s agenda.
That more negative evaluation may not have as much to do with the content of the law as the implementation of it, in particular how that squares with the president’s earlier characterization of how the law would work.
Some Democratic members of Congress, as well as former President Bill Clinton, are urging the president to support legislation that would rewrite portions of the law to allow Americans to keep their insurance plan if they are being dropped from it, as a way to honor his pledge. At this point, it is not clear whether the president will seriously consider that, or attempt to adjust how the law is administered without rewriting pieces of it.
Additionally, many members of Congress from both parties are asking the administration to extend the deadline by a year for Americans to get health insurance before facing a fine, given the ongoing technical issues with the exchange websites, which are still being fixed. The White House recently extended the deadline by six weeks.
How the administration handles these challenges to the implementation of the law, plus any new ones that emerge in the coming months, could be critical in determining the trajectory of the “disapprove” line in Gallup’s trend chart for the healthcare law.
Obviously this was written before the President’s announcement today. Politically it appears to be panic-city at the White House and among the Democrats. When you have Howard Dean – Howard Dean for heaven sake – questioning the legality of the president’s announcement today, you know there’s trouble in Democrat-land. How long it will last is anyone’s guess at this point, but I think it is safe to say, we’re nowhere near the end of this debacle.
Even though the “consensus” described in the IPCC report says it won’t. Gee, who to believe – the IPCC who has been badly off the mark since it began reporting or other scientists who actually research the climate, like Prof. Judith Curry from Georgia Tech?
The 17-year pause in global warming is likely to last into the 2030s and the Arctic sea ice has already started to recover, according to new research.
A paper in the peer-reviewed journal Climate Dynamics – by Professor Judith Curry of the Georgia Institute of Technology and Dr Marcia Wyatt – amounts to a stunning challenge to climate science orthodoxy.
Not only does it explain the unexpected pause, it suggests that the scientific majority – whose views are represented by the UN Intergovernmental Panel on Climate Change (IPCC) – have underestimated the role of natural cycles and exaggerated that of greenhouse gases.
Yeah, I’ll go with Prof. Curry if you don’t mind.
My favorite line from the article is one of vast understatement:
The research comes amid mounting evidence that the computer models on which the IPCC based the gloomy forecasts of a rapidly warming planet in its latest report, published in September, are diverging widely from reality.
You think!? They haven’t been close to correct for years. In fact, they can’t even recreate the past with any fidelity. Here’s the reality:
The pause means there has been no statistically significant increase in world average surface temperatures since the beginning of 1997, despite the models’ projection of a steeply rising trend.
According to Dr Hawkins, the divergence is now so great that the world’s climate is cooler than what the models collectively predicted with ‘five to 95 per cent certainty’.
Curry and Wyatt say they have identified a climatic ‘stadium wave’ – the phenomenon known in Britain as a Mexican wave, in which the crowd at a stadium stand and sit so that a wave seems to circle the audience.
In similar fashion, a number of cycles in the temperature of air and oceans, and the level of Arctic ice, take place across the Northern hemisphere over decades. Curry and Wyatt say there is evidence of this going back at least 300 years.
According to Curry and Wyatt, the theory may explain both the warming pause and why the computer models did not forecast it.
It also means that a large proportion of the warming that did occur in the years before the pause was due not to greenhouse gas emissions, but to the same cyclical wave.
‘The stadium wave signal predicts that the current pause in global warming could extend into the 2030s,’ said Wyatt. This is in sharp contrast with the IPCC’s report, which predicts warming of between 0.3 and 0.7C by 2035.
Wyatt added: ‘The stadium wave forecasts that sea ice will recover from its recent minimum.’ The record low seen in 2012, followed by the large increase in 2013, is consistent with the theory, she said.
So now we have a viable theory that doesn’t rely on forced and fudged numbers (or hiding the decline) and has a history of at least 300 years.
I imagine the “chicken little” crowd will ignore it as they ignore all studies that refute or at least question their insistence that man is the cause of any warming going on. After all, if they don’t, if they admit their wrong, how in the world can government use their power of taxation to literally create revenue out of thin air?
Of course they can’t. So they’ll ignore the new science and resort to calling those who are doing it and supporting it “deniers”, demonize them as ignorant neanderthals all the while conspiring to pass laws to relieve you of your money in the name of saving the world. This isn’t about science.
This on-line debacle that’s so embarrassed the Democrats and the Obama administration? It is likely the result of blatant cronyism. The inept hiring the incompetent:
A tech firm linked to a campaign-donor crony of President Obama not only got the job to help build the federal health-insurance Web site — but also is getting paid to fix it.
Anthony Welters, a top campaign bundler for Obama and frequent White House guest, is the executive vice president of UnitedHealth Group, which owns the software company now at the center of the ObamaCare Web-site fiasco.
UnitedHealth Group subsidiary Quality Software Services Inc. (QSSI), which built the data hub for the ObamaCare system, has been named the new general contractor in charge of repairing the glitch-plagued HealthCare.gov.
Welters and his wife, Beatrice, have shoveled piles of cash into Obama’s campaign coffers and apparently reaped the rewards.
Beatrice Welters bundled donations totaling between $200,000 and $500,000 for Obama’s campaign during the 2008 election cycle, according to campaign- finance data compiled by Center for Responsive Politics.
Well, how sweet is that? Give a little, get a lot! And while this certainly isn’t the first administration or political party to practice cronyism, it certainly is the most open about it. One would almost think they believe that they are entitled. A spoils system of sorts.
UnitedHealth Group is one of the largest health-insurance companies in the country and spent millions lobbying for ObamaCare.
The insurance giant’s purchase of QSSI in 2012 raised eyebrows on Capitol Hill, but the tech firm nevertheless kept the job of building the data hub for the ObamaCare Web site where consumers buy the new mandatory health- insurance plans.
QSSI has been paid an estimated $150 million so far, but officials couldn’t say how much more the company might collect on the repair contract.
Whatever happened to the belief that there should be a distance between politics and business? Once, it was a point of integrity to ensure there was no shadow or hint of a possible conflict of interest?
Now? Just line up at the trough, those that gave the most get the most. As for the work? Just like every other government program (except health care), they’ll be glad to overpay for shoddy work.
And here we are.
“I’m extraordinarily frustrated,” said Sen. Jeff Merkley (D-Ore.) after top Obama-administration officials gave Senate Democrats a private briefing on the state of the Web-site repairs.
He said they were losing confidence the site could be quickly fixed.
“I don’t think there’s confidence by anyone in the room. This is more of a show-me moment,” said Merkley.
I don’t think there’s confidence by anyone in the country – except, of course, the “true believers”.
Or so it seems.
Tell me, if a senior executive of any corporation had rolled out a product that was as bad as the ObamaCare website and had caused as much embarrassment and grief for the corporation as this roll out has produced for this administration, would they likely still be employed by the corporation?
Oh, I’m sure you can think of some “lifeboat” instance where it might happen, but for the most part, they’d have been sent packing immediately after the depth of their non-performance was ascertained.
But not in this government. I’m of the opinion that Kathleen Sebelius must have Obama’s college transcripts or something to still be employed. That said, pressure for her ouster continues to build:
It’s Kathleen Sebelius’s turn now. On the Hill, they’re calling for her resignation and tossing around words like “subpoena.” Pundits are merrily debating her future. (She’s toast! Or is Obama too loyal to fire her so soon?) Her interviews, more closely parsed than usual, seem wobbly. Though never a colorful presence on the political scene, she’s suddenly a late-night TV punch line.
And on Wednesday morning, the embattled secretary of health and human services will submit to a quintessential station of the Washington deathwatch — testifying before a congressional committee — to discuss her agency’s failings in the botched rollout of the federal health-insurance Web site.
Granted, this is only part of the on-going debacle that is the Affordable Care Act, aka “ObamaCare”. And while it will, in years to come, be cited as the perfect example of ineptitude coupled with incompetence, it isn’t the big problem right now. The big problem, as pointed out yesterday, is the country was purposely lied too in order to garner enough support to push this monstrosity through Congress and make it law.
Lied too. Point blank and with a smile. Jonah Goldberg shares my opinion of Obama’s lie and goes a century or two more:
And that lie looks like the biggest lie about domestic policy ever uttered by a U.S. president.
Ever. For those of you who want to cite Clinton, Nixon or some other president, Goldberg points out:
The most famous presidential lies have to do with misconduct (Richard Nixon’s “I am not a crook” or Bill Clinton’s “I did not have sexual relations”) or war. Woodrow Wilson campaigned on the slogan “He kept us out of war” and then plunged us into a calamitous war. Franklin D. Roosevelt made a similar vow: “I have said this before, but I shall say it again and again: Your boys are not going to be sent into any foreign wars.”
Roosevelt knew he was making false promises. He explained to an aide: “If someone attacks us, it isn’t a foreign war, is it?” When his own son questioned his honesty, FDR replied: “If I don’t say I hate war, then people are going to think I don’t hate war. . . . If I don’t say I won’t send our sons to fight on foreign battlefields, then people will think I want to send them. . . . So you play the game the way it has been played over the years, and you play to win.”
Is that the case with Obama? Lying in order to pass some cherished legislation which won’t at all do what you promise it will do is “the game” and in politics, justifies “playing to win”?
Or is it, much more simply, damn the truth, the ends justify the means?
Yeah, that’s how I see it too.
As for accountability for the Obama lie, don’t hold your breath. Sebelius may end up biting the bullet. But the buck won’t even slow down at Obama’s desk.
I’m not one to use the word “liar” much since I consider it’s definition to be very specific, i.e. telling something you know to be false.
However, in the case of the ObamaCare lie – and that’s what it was when President Obama said “if you like your insurance, you can keep it” – I call it what it is. And there’s no question about it now.
What I hate worse than a liar is someone who tries to rationalize or explain away a lie. Like Steny Hoyer:
House Democratic Whip Steny Hoyer conceded to reporters today that Democrats knew people would not be able to keep their current health care plans under Obamacare and expressed qualified contrition for President Obama’s repeated vows to the contrary.
“We knew that there would be some policies that would not qualify and therefore people would be required to get more extensive coverage,” Hoyer said in response to a question from National Review.
Asked by another reporter how repeated statements by Obama to the contrary weren’t “misleading,” Hoyer said “I don’t think the message was wrong. I think the message was accurate. It was not precise enough…[it] should have been caveated with – ‘assuming you have a policy that in fact does do what the bill is designed to do.’”
So it was a lie to begin with, no one spoke up and now the lying liars are trying to spin the result. You weren’t just misled – you were LIED too. Purposely. And shamelessly.
Welcome to politics and government today. Utter disgust doesn’t even begin to describe how I feel about the whole institution.
16 million people are now receiving letters from their carriers saying they are losing their current coverage and must re-enroll in order to avoid a break in coverage and comply with the new health law’s benefit mandates––the vast majority by January 1.
And how many have managed to enroll? Well it appears that number is in the thousands, and as we mentioned on the podcast last night, most of those are enrolling in Medicaid.
Meanwhile, the failed law continues to impact the lives of fellow citizens negatively.
Hundreds of thousands of New Jerseyans opened the mail last week to find their health insurance plan would no longer exist in 2014 because it does not cover all the essential benefits required by the Affordable Care Act. … The changes will impact more than 800,000 people in New Jersey who purchase insurance on the individual and small-employer markets, according to Ward Sanders, president of the New Jersey Association of Health Plans.
Florida Blue is dropping 300,000 customers whose policies the health insurer says aren’t sufficiently comprehensive under the health care overhaul. The Jacksonville-based insurance company said Thursday that the 300,000 policyholders have plans that don’t include all of the 10 categories of benefits required under the Affordable Care Act.
Kaiser Permanente in California has sent notices to 160,000 people – about half of its individual business in the state. … Blue Shield of California sent roughly 119,000 cancellation notices out in mid-September, about 60 percent of its individual business.
CareFirst BlueCross BlueShield is being forced to cancel plans that currently cover 76,000 individuals in Virginia, Maryland, and Washington, D.C., due to changes made by President Obama’s health care law, the company told the Washington Examiner today. That represents more than 40 percent of the 177,000 individuals covered by CareFirst in those states.
Independence Blue Cross is canceling coverage for 24,000 members in the Philadelphia region because their insurance plans don’t comply with new rules from the Affordable Care Act, Newsworks reported.
Insurer Highmark in Pittsburgh is dropping about 20 percent of its individual market customers, while Independence Blue Cross, the major insurer in Philadelphia, is dropping about 45 percent.
And these are just the tip of the proverbial iceberg. 16 million dumped after they were promised what?
“If you like your current plan, you will be able to keep it. Let me repeat that: if you like your plan, you’ll be able to keep it.”
Because, you remember, that was a MAJOR FEATURE of ObamaCare:
“In fact, one of our core principles is that if you like the health care you have, you can keep it.” (Sen. Reid, Congressional Record, S.8642, 8/3/09)
Ah yes, the lying liars that brought us the biggest lie of the 21st century to date.
“All we’ve been hearing the last three years is if you like your policy you can keep it… I’m infuriated because I was lied to.”
How’s it feel to have been “had” this badly?
As a designed program it is a disaster. Why? Because it does few if any of the things it was supposed to do (remember: “if you like your insurance and want to keep it?”). Now the New York Times – a rah, rah supporter of the law – has found another “design flaw”:
As technical failures bedevil the rollout of President Obama’s health care law, evidence is emerging that one of the program’s loftiest goals — to encourage competition among insurers in an effort to keep costs low — is falling short for many rural Americans.
While competition is intense in many populous regions, rural areas and small towns have far fewer carriers offering plans in the law’s online exchanges. Those places, many of them poor, are being asked to choose from some of the highest-priced plans in the 34 states where the federal government is running the health insurance marketplaces, a review by The New York Times has found.
You have to chuckle a bit at the abject ignorance the Times often displays as evidenced by the fact that they don’t seem to understand that price controls/setting isn’t going to foster much competition among anyone. And, when government decides what each policy must contain, they’re not going to be cheap. Oh they may seem relatively cheap, but then there are those damnable deductibles, aren’t there?
Of the roughly 2,500 counties served by the federal exchanges, more than half, or 58 percent, have plans offered by just one or two insurance carriers, according to an analysis by The Times of county-level data provided by the Department of Health and Human Services. In about 530 counties, only a single insurer is participating.
The analysis suggests that the ambitions of the Affordable Care Act to increase competition have unfolded unevenly, at least in the early going, and have not addressed many of the factors that contribute to high prices. Insurance companies are reluctant to enter challenging new markets, experts say, because medical costs are high, dominant insurers are difficult to unseat, and powerful hospital systems resist efforts to lower rates.
“There’s nothing in the structure of the Affordable Care Act which really deals with that problem,” said John Holahan, a fellow at the Urban Institute, who noted that many factors determine costs in a given market. “I think that all else being equal, premiums will clearly be higher when there’s not that competition.”
The Obama administration has said 95 percent of Americans live in areas where there are at least two insurers in the exchanges. But many experts say two might not be enough to create competition that would help lower prices.
What was that word again? Oh yeah, “incentive”. What “incentive” is there for an insurer to enter a market simply to lower prices so no one can survive? Yeah, probably not much. And in rural areas where population is thin in comparison to urban areas, the cost of doing business may preclude the entrance of a third carrier because there’s no positive incentive to do so. I.e. they don’t see profit being higher than the cost of doing business. Imagine that?
But hey, it’s the law and law is magic, you know. It declares something will be so and it must be so. Right?
Well, that’s the “thinking” behind this law, such that it is … the law of the underwear gnomes come to life.
Everything I read about this debacle that is ObamaCare’s launch is summed up pretty well in this paragraph:
In an era where Google is making self-driving cars and Amazon offers next-day delivery for just about anything, the White House plunged ahead with a system it knew to be defective and is relying on the technology of the 19th century as the fall-back. Five days before the exchanges launched, the Health and Human Services Department increased the Virginia information technology company Serco’s $114 million contract by $87 million—to help process paper applications. Are contingency plans in place to sign up via telegraph?
Pitiful doesn’t begin to describe the effort. Incompetent is too tame to encompass the leadership. Inept would be a compliment if describing the launch.
And yet we think these people, the people who designed and put this monstrosity together and thought it good enough to launch, can be trusted with our health care.
It makes one wonder about the collective intelligence of the citizenry.
P.S. Thought you’d like to know that in the new liberal conventional wisdom, “death panels” are now a “good thing”, especially if the state has final say.
Gee, never saw that coming.
BTW, can anyone guess the greatest lie of the 21st Century to date?
“If you like your insurance and want to keep it, you can.”