Tag Archives: Health Insurance

The Big Website Foul-Up (It Takes A Village)

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Major problems with the new ACA website healthcare.gov are being reported and criticized throughout the media. It’s a great story, definitely worth reporting and much easier to write about than the complexities of the new law and how it will affect millions of people.

Fortunately, states that chose to create their own websites, like California and New York, are doing better, one likely reason being that their software requirements were easier to implement. It’s states with Republican governors or legislatures that didn’t create their own websites, like Texas, Florida and New Jersey, that are especially suffering. Although there are other ways to sign up for ACA-generated health insurance (by phone, and even in person), it’s still a problem for many people who live in those Republican-governed states.

Still, it’s an especially poignant example of how Republicans often put politics above principle or pragmatism. One would think that politicians who consistently criticize the Federal government (except for the Defense Department, etc.) wouldn’t depend on a Federal website delivering health insurance to their citizens, but go figure.

It’s also a great example of how large computer projects usually fail to meet deadlines, and how corporations that sell things to the government almost always find a way to make a whole lot of money. “We will deliver X by Y for $Z” repeatedly turns into “we will deliver X- by Y+ for $Z++”. Everyone involved usually has an excuse – it’s often the fault of those other guys – but whatever happens always results from a team effort.

For more on the software development aspect of the situation, here’s an honest, accurate appraisal from someone who has clearly been in similar situations:

In fact, we software developers suck at estimating how long it will take to build a web application (it’s time that we admit that). So, if we suck at it, imagine how poorly our managers who have never written a line of code suck at it when they pull estimates out of their asses to impose on their development teams and report to their bosses.

The whole article is worth reading, although I’ll add that these problems aren’t limited to web applications, many people who give optimistic estimates have done plenty of coding, and the people doing the requirements aren’t always the most blameworthy. Software developers frequently slow down the requirements-writing process by failing to give feedback, asking for repeated clarifications, arguing about which features are necessary and failing to move forward when progress could be made. In addition, there may be good reasons to roll out software that isn’t ready (sometimes, something is better than nothing). It really is a team effort.

http://www.dailykos.com/story/2013/10/17/1248260/-A-software-developer-s-view-on-the-HealthCare-gov-glitches#

Now That That’s (Almost) Over

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(until the next time…)

He’s One of Them

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Last month, the philosopher Robert Paul Wolff gave his answer to that pressing question: “why does the Right hate Obamacare?”. I’m sure he wouldn’t mind me quoting a few paragraphs:

“There is now a sizable fraction of the American public, and a considerable number of Representatives and Senators, who say that they consider Obamacare an assault on everything they hold dear, a fatal blow to the American Way, a Socialist plot to destroy life as we know it, an evil so great that it is worth bringing the government to a halt and threatening the world financial system to defund it or even slow marginally the pace at which its provisions go into effect….

The Civil Rights Movement, launched by African-Americans half a century ago, threatened, and eventually began to break down … legal, customary, residential, and employment barriers.  It was at this time that the old familiar political rhetoric about “working men and women” also began to change. The new rhetoric spoke of “middle-class Americans,” which, although no one acknowledged it, was a thinly veiled code for “not Black.”  As economic pressures mounted on those in the lower half of the income pyramid, Whites wrapped themselves in the oft-reiterated reassurance that at least they did not live in the Inner City (which is to say, Black neighborhoods), that they were “Middle Class.”  All of the political discourse came to be about the needs, the concerns, the prospects of the Middle Class, which to millions of Americans, whether they could even articulate it, meant “not Black.”

All of this crumbled, frighteningly, calamitously, disastrously, when a Black man was elected president.  “Free, white, and twenty-one” ceased to be the boast of the working-class White man. Statistics do not matter, trends do not matter, probabilities do not matter, income distribution differentials do not matter. If a Black man with a Black wife and two Black children is President of the United States, then a fundamental metaphysical break has occurred in the spiritual foundation on which White America has built its self-congratulatory self-image for three centuries and more.

Hysterical Whites tried every form of denial. Obama’s election was theft. Obama is not an American. Obama is a Muslim. Obama is a socialist…. When Obama was reelected, vast numbers of Americans went into terminal denial. They seized upon the ACA simply because it was, as everyone knew, Obama’s signature domestic accomplishment. To repeal it, to defund it, to make it as though it had never existed, would be in some measure to deny that he had ever been President. The actual details of the ACA matter not at all. Neither do the actual felt medical needs of those driven insane by the very fact of Obama’s tenure in the White House. None of that has anything at all to do with the real cause of the hysteria. Why are millions of Americans driven beyond hysteria by the ACA? 

BECAUSE OBAMA IS BLACK.”

The full text is here:

http://robertpaulwolff.blogspot.com/2013/09/why-does-right-hate-obamacare.html

Selected Reading On The Mess We’re In

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Historian Sean Wilentz makes a forceful argument in favor of Obama invoking the 14th Amendment to protect the world’s economy:

… the president would have done his constitutional duty, saved the country and undoubtedly earned the gratitude of a relieved people. Then the people would find the opportunity to punish those who vandalized the Constitution and brought the country to the brink of ruin.

http://www.nytimes.com/2013/10/08/opinion/obamas-options.html?pagewanted=2&hp

The New York Times editorial board is justifiably outraged that many people living in Republican-run states will still lack health insurance next year — they’ll earn too little to be covered by the Affordable Care Act and too much to be covered by Medicaid:

Their plight is a result of the Supreme Court’s decision last year that struck down the reform law’s mandatory expansion of Medicaid and made expansion optional. Every state in the Deep South except Arkansas has rejected expansion, as have Republican-led states elsewhere, [although] there is no provision in the ACA to provide health insurance subsidies for anyone below the poverty line … those people are supposed to be covered by Medicaid… Eight million Americans who are impoverished and uninsured will be ineligible for help of either kind.

http://www.nytimes.com/2013/10/04/opinion/a-population-betrayed.html?ref=opinion

Of course, Congress could easily fix this problem, but that would require You Know Who to cooperate.

At Jacobin, Shawn Gude writes about the fundamental tension between capitalism and democracy, in the context of living-wage legislation in the District of Columbia:

The controversy throws into sharp relief one of our era’s great unspoken truths: Capitalist democracy, if not an oxymoron, is less a placid pairing than an acrimonious amalgamation. The marriage that Francis Fukuyama famously pronounced eternal is in fact a union of opposites. Inherent to capitalism is inequality, fundamental to democracy is equality. Class stratification, the lifeblood of capitalism, leaves democracy comatose. The economic “base,” to put it in classical Marxian terms, actively undermines the purported values of the political superstructure.

http://jacobinmag.com/2013/08/capitalism-vs-democracy/

And finally, Nobel Prize-winning economist Joseph Stiglitz argues that we can undo the decisions that got us into this mess:

We have become the advanced country with the highest level of inequality, with the greatest divide between the rich and the poor… The central message of my book, The Price of Inequality, is that all of us, rich and poor, are footing the bill for this yawning gap. And that this inequality is not inevitable. It is not … like the weather, something that just happens to us. It is not the result of the laws of nature or the laws of economics. Rather, it is something that we create, by our policies, by what we do.  

We created this inequality—chose it, really—with laws that weakened unions, that eroded our minimum wage to the lowest level, in real terms, since the 1950s, with laws that allowed CEO’s to take a bigger slice of the corporate pie, bankruptcy laws that put Wall Street’s toxic innovations ahead of workers. We made it nearly impossible for student debt to be forgiven. We underinvested in education. We taxed gamblers in the stock market at lower rates than workers, and encouraged investment overseas rather than at home.

http://www.alternet.org/economy/joe-stiglitz-people-who-break-rules-have-raked-huge-profits-and-wealth-and-its-sickening-our

Meanwhile, the Swiss are voting on whether to guarantee everybody a minimum monthly income of $2500 francs ($2800 dollars). They’re also voting on a proposal to limit executive pay to no more than 12 times what the company’s lowest-paid workers earn. Who knew that the businesslike, orderly Swiss were a bunch of commies? Or maybe they’re just fed up with rising inequality, even in Switzerland.

http://www.reuters.com/article/2013/10/04/us-swiss-pay-idUSBRE9930O620131004

People Like the ACA, Whether They Know It or Not

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In Kentucky, of all places. But Kentucky has a Democratic governor who wants to make it work.

http://www.dailykos.com/story/2013/10/03/1243855/-Kentucky-s-success-makes-a-mockery-of-GOP-Obamacare-foes