Setting aside the issue of whether or not the ACA is a good idea or not. If you have all the bright minds in Washington DC plus the resources of the Federal Government
Why has the roll out of the ACA exchanges been so fraught with computer problems? Hint: (it is not bandwidth)
The bills frame work more than likely started with Hillary Care back in the 90's. The notes the suggestions the additions and deletions more than likely produced huge volumes of useless computer code. Add to that the various sections of the legislation was parted out to various agencies and well you might start to understand the complexity of the problem.
Fundamentally there is one problem more than any other that prevents the ACA from functioning that being the inability of government to "Fire" anyone. To take control of the mission. To step on the "toes" of those unhelpful and give the work to someone who might be better skilled at the work at hand.
Legislation by consensus and not expediency.
Google could have done this for the US government. I'm not sure that even in ten years of working on the software we can expect the Government to produce a user friendly interface. (Especially if there are any codes included in the program that might have originated with Windows 95 or Windows Vista.)
At What point will American develop an attitude harmful to the Implementation
Since the Oct. 1 launch of state-based insurance web sites where uninsured Americans can shop for new health coverage, the exchanges have been riddled with computer problems causing crashes and error messages. Administrators for both state-run exchanges and those being managed by the federal government have brushed off concerns that the glitches mean the health care law is fundamentally flawed. They point out that the open enrollment period that began this month lasts until March 31, 2014, and the earliest new coverage can begin is Jan. 1, 2014.
Next year as the sign-up window starts to close the huge number of Americans forced into forming a line at the Government insurance window will make the problem worse not better as the number of days starts to dwindle.Aside from the risk that fewer people will get health coverage if web sites are not repaired soon, another long-term concern raised by the computer problems is the composition of the insurance pool. Says Joel Ario, who served as director of the Office of Health Insurance Exchanges at the U.S. Department of Health & Human Services (HHS) from August 2010 to September 2011.
“The people who most need coverage will get it. They’ll be patient and they’ll work through the glitches. The people who don’t need it now will be less patient. The easier the enrollment, the better the chances of having a balanced insurance pool.”
If the coverage plans sold through the Obamacare exchanges are stacked with sicker and older Americans, insurers will have to raise prices for 2015 plans. If people balk at those premiums, the exchange system itself could be in danger.
Read more: http://nation.time.com/2013/10/09/time-running-out-for-obamacare-fixes/#ixzz2hEg8RdOw