Saturday, October 19, 2013

The Health Care Exchange debacle

By now almost everybody has heard of the chaos surrounding the government’s roll out of ObamaCare health care exchanges in 36 states.  As near as anyone outside the government can tell (the government thus far refuses to talk about the issue at all), something like 1% of the people who have tried to enroll thus far have been successful, and insurance companies are in chaos because the system is feeding them bad or incomplete information.  Thank goodness IBM put me into a private exchange rather that the government exchange when they dropped retiree health care (thanks again Mr. you can keep your current insurance if you like it!).

Of course the problem was predictable.  Congress (well, the Democrats) expected states to build these exchanges, though of course they didn’t give the states any money to do that, nor enough time.  Not surprisingly, 36 states refused, since no money came with the request and states are having enough fiscal problems of their own.

So the government had to build them, on the same inadequate schedule they had given the states, and with no money appropriated to do the job.  Now a little-known statistic outside of the system engineering field is that over the past four decades about 65% of systems built by the government are so flawed they are never fielded, and the reminder typically take millions of dollars and years to fix enough to make them able to be rolled out. So this is typical, just more public and embarrassing for the administration than usual.

But it sure shows why you really don’t want the government building big IT systems. It’s hard enough when private companies do it, but at least the private companies fire the incompetent managers and programmers when this happens, unlike the government.