Monday, November 04, 2013

"All of that is well and good, but if the Web site doesn't work, nothing else matters”


Barack Obama, monthly at EVERY MEETING he chaired on his most important effort.
Being who they are they attempt to put many if not most-all of the poor decisions, appointment, and lack of consultations, on the venomous, unforgiving, Repubs and their death vendetta.
But that is not what emerges.
What emerges is THIS:

By making no effort to find a compromise by which the Executive, Senate and House gathered the SIGNIFICANT OBJECTIVE REALITY of bipartisan effort this administration put itself into a position where unless they were capable of a near perfect START UP of one of, if not THE largest start ups of all time, Obamacare would be a guaranteed failure.

Again and again, because they had no republican support engaged from the passage, they reacted to perceived possible Republican actions to REAL SHORTCOMINGS OF OCARE DEVELOPMENT by  dividing efforts among disparate groups who did not communicate, avoided consulting with their own party in congress, and gave no person ULTIMATE DIRECT responsibility. They also promoted people OUT OF the chain of command during development. This is a staggering unforced error.
If the admin had done otherwise, and acted in a VISIBLE and TRANSPARENT MANNER (which would have indicated that their concern was for an effective act to serve the people) the Admin was AFRAID they would have been denigrated, and lose POLITICALLY.
The reality is the politics, NOT ACTUAL REAL LIVES IN THE USA.
No doubt these actors, and WaPo themselves, view such an attitude as naive. But sooner or later, THAT sensation is the naive one.
Right now the story is the horrendous, farcical web site, (as of this AM 457,466 total views of the shopping premiums page, 455,632 yesterday, so only 1,834 views yesterday), and the individual market uncovering the lies of the president…. but the REAL STORY, that for most people and most business provided insurance - and the need to comply, rates are going up in a measurable, and sometimes in a catastrophic amount. This is going to unfold sometime between now and the election. 
The president CORRECTLY identified the the strategic Schwerpunkt of OCARE. No web site, no market. No market no exchange. No exchange no enrollment. No enrollment (of young, impatient Amazon shoppers), CATASTROPHE.
But even now, these people cannot self correct.
The ‘good news’ is that at 1,800 views a day the web site performs acceptably. That’s 5 or 6 new people signing up yesterday (per CBS data).
The bad news is that your real rate is STILL not shown (and for the reasons stated above, no doubt …FEAR), just the rather optimistic rates as if you are 27 or 50  If you look carefully at the complaints we see right now, you will see they are from those whose REAL rates are >27 and >50, and by as much as a factor of 300%.
There is NOTHING Obama can do about that.
And as the rest of employer provided insurance Americans are going to find in the next 12 months as anniversary dates appear, if you have 3 children and are 30-45 and there aren’t go to be anymore, you are paying in YOUR policy for maternity, lactation, laser surgery for older people, mental health and drug and alcohol provisions et cetera, et cetera, et cetera,. Worse still, watch the deductible and out of pocket expenses you will be FORCED to chance in order to not terribly impact your family disposable income (the only thing America has to recover from this economic state we are in).
I EXPECT that the reactions coming will be so huge that the issue for 2016 will be single payer, because ONLY by demonizing, and painting a picture of rich, powerful, cold and calculating insurers and their institutions, evil drug companies and their rapacious profiteering at the people’s expense, and doctors performing needless revenue generating procedures can the democrats get out from under this amazing place they are in ALL ALONE.

Insurers will be plain OUT OF BUSINESS. Think about the consequences for a few moments.
All Hospitals will be VA Hospitals.

Drug companies will be indistinguishable from utility operations.
Doctors will become salaried appendages of state policy.
This is what every leading democrat has stated they want, but with a picture painted with other words.
Not one Republican found a way to support this, and none was sought by compromise of any realistic kind.
The democrats got precisely what they wanted, and they had no idea how to translate that victory into REALITY.

1 comment:

Always On Watch said...

The issue of the erosion of disposable family income is the elephant in the room for our ailing economy.