If you thought Obamacare was bad...
As usual, China is way worse.
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Part of another conversation I had about the recent Obamacare troubles... would love to hear your thoughts if you have time.
http://talkingpointsmemo.com/
Yeah, I have been really saddened and disappointed by how the Obama admin. has rolled out heathcare.gov. When you know the GOP is looking for any little excuse to scuttle the program, you'd think they would be extra careful every step of the way! It seriously looks like it was put together in a week by interns. I know health care is complex as hell, with different laws in different states, so then maybe they should have fought harder for single payer from the start! And as you suggested, if this is a wacky attempt to convince America that single payer is the way to go, it probably won't worry either since trust in gov't is so low. Well, even if Obamacare fails and is repealed by President Christie (LOL), I think it got the health-industrial complex to pay attention and realize that Americans (and even some of our leaders) are tired of being gouged by a broken system that under-delivers on health outcomes for all the money it takes in. Companies/doctors are being more cautious and not just assuming they can raise prices, over-prescribe treatments, cherry pick "profitable" patients, and bilk Medicare and get away with it every time. So I guess that is some progress?
I agree with you about the misrepresentation. That is the problem when passing the bill becomes the goal rather than actually helping citizens. But unfortunately Obama has not been a very transparent president, despite his claims. I think that is a reflection of his and his admin's poor communication skills. While Obama is an inspirational campaign speaker on the abstract level, he is fairly poor in terms of leadership and on the practical policy level, as we saw during the Romney debates. He gets too academic and technical, and doesn't empathize with others. Most of us barely understand our own health care, much less gov't policy, and it can be an emotional issue. Obama relied too much on logic/macroeconomics, and didn't do enough to put people's fears and concerns to rest (especially in the face of the GOP lie machine). Unlike Clinton, Obama never "felt our pain." So there wasn't much trust from the get-go, which was reflected in Obamacare's persistent low approval numbers among the public (despite high public support for the individual parts of the law, like covering kids until 25, no rejections for pre-existing conditions, etc.). So if he communicated better from the start, I think the public could be a lot more forgiving of the glitches now. Customers mostly forgave the iPhone 4 for it's "death grip" dropped calls problem, because they loved the company and were addicted to the product. ;)
Speaking of the implementation, it is seriously his Bay of Pigs. Like Kennedy, I bet Obama was too trusting of his people that they would handle it properly, and wasn't skeptical enough. He did go on the national PR tour to drum up support and interest, but he didn't really manage expectations and prepare the country for what could go wrong. In 2013, there is just no excuse for a website that works so poorly. Testing and pilot sessions with real customers were severely lacking. I haven't had time to follow the media discussion, so I am not sure if the pundits and Sebelius already covered these points. But they had ample time to prepare for the website launch, so I don't know why their product is so crappy now.
In general, I think a website is supposed to launch small at first to mitigate risk (like 5% of expected peak traffic) and gradually ramp up as long as things are working. I am not sure, but did healthcare.gov suddenly turn on for the whole country all at once? That is a bad strategy. Maybe try it out with ISPs from a couple small states first, check the performance, collect feedback, and make necessary fixes before expanding the reach. It would have let them catch bugs (or maybe delay the 100% launch) before it became a national embarrassment with thousands of frustrated users. I heard an alternate rollout plan was first to make sure the site was stable and let users browse plans only (to make sure the info they got was accurate too!), then when registration/enrollment was ready and tested, they would add that functionality later. But Obama's people worried that users would browse plans, not like any, and never come back (if you are so worried about that, then maybe your product is not so appealing and you should fix that first!), so they wanted to require registration prior to browsing. There was also the political pressure to get as many people enrolled as possible during the initial launch period, so they required visitors to register up front. But that is bad for several reasons: web users often mess up the registration process, and if you mandate it at launch, you introduce a bottleneck and they will flood your customer support line all at once. Also registration is annoying, so that will cause many users to just drop off too (if they can even get the page to load). Plus let's remember that many uninsured Americans or those who buy individual plans could be lower income and less tech savvy, even if they have a helper to assist.
On the issue of the "deception" over keeping your old plan and old doctor, I have mixed feelings about it. On one hand, if Obama knows that a major argument against Obamacare is a supposed loss of freedom, then "forcing" people to change plans/doctors (even to ostensibly better ones) is risky and plays into the GOP hand. But if they need to eliminate ineligible plans to make the whole system work, then I understand, but that is a major program risk that should have been addressed years ago. The doctor-patient relationship is sensitive and almost sacred, so if Obamacare really does prevent some people from keeping their old doctors (even if they are crappy or charge too much), then that is unacceptable to me. I think you can convince people to let the gov't upgrade their coverage (but again, Obama's people did a terrible communication job), but change is hard for some folks and you can't just drop their coverage suddenly and tell them to choose a new plan on a buggy website. All this mess plays into the conservative narrative that gov't is totally meddling in our lives and inept in providing services (which is unfortunately true at times). The 'fix' from the first link above is too little, too late. Maybe a better plan would be what companies do for new hires. They default you into a basic health plan, and you have the option to pick a different one within 60 days. At least then everyone is sure they are covered from the start, and there is no rush/panic/anger. Maybe that is impossible nationally, since health plans and laws are different in each state (another issue we probably need to address)?
http://www.washingtonpost.com/
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