Obamacare Open Enrollment, Week Two
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  • cubanbob

    Why is anyone surprised? If these guys owned a gas station and stole the customers cars they still couldn’t make a buck. What’s more amazing there people who want this crew to run the health care system for them.

    • Andrew Allison

      The problem is that “this crew” want private insurance companies (follow the money!) to run the health care system for them. If you add millions of people to the insured roles, it has to be paid for. The possibilities are: increased premia, reduced benefits, or cutting out the middle man.

      • cubanbob

        Policies don’t sell and service themselves. Someone has to do it. So whether its an insurance company, an entity that has a real understanding of insurance or a government agency there is still an overhead. CMS is in a sense an insurance company but just more incompetent and wasteful.

        • Andrew Allison

          Yawn. Infant mortality and longevity are the only meaningful measures of the effectiveness of health care.

          Private insurance companies are in business to make money (not a criticism, merely recognition of their duty to their owners). Government is, supposedly, in the business of providing services (see above).

          The fatal flaw of ACA is that it failed to eliminate the profit motive.

          The so-called incompetency and wastefulness of CMS is, I suggest, reflected by the huge discounts which providers accept.

  • ljgude

    I happen to be a MediaTemple customer. I’m sure I don’t have the same level of service that Obamacare has but I do know another company that is really proficient at scaling to meet demand – SquareSpace. You can’t bring their sites down. They wouldn’t work for Obamacare because they have predetermined templates with no bandwidth hogging code, but if I were looking for a company to roll out Obamacare I’d work with them closely to see if their scalable hosting solution could be adapted to the government’s needs. The truth is that you can bring most sites down if many people go to the URL at the same time. Live podcasters do it unintentionally all the time by mentioning a URL to their audience which is a whole lot smaller audience than the Obamacare audience. Mediatemple does offer scalable solutions, but this is a monster ask and evidently the code is half baked and causing heaps of extra bandwidth problems. As Dirty Harry would say “Marvelous”.

  • clazy8

    Does Jon Stewart realize that his zinger goes right to the heart of the problem with Obamacare? Private individuals in a free market will always deliver better service than the government and for less, because who knows better whether a customer is getting what he needs — a bureaucrat in DC, or the customer himself? (Yes, I know the answer to that question isn’t obvious in DC, where everybody has a vested interest assuming they know best.) It doesn’t take five/ten/twenty thousand pages of regulations to ensure everyone has a minimal level of healthcare. Just put a voucher in every citizen’s hands and let them do the rest.

    • Andrew Allison

      “Private individuals in a free market will always deliver better service than the government and for less, because who knows better whether a customer is getting what he needs — a bureaucrat in DC, or the customer himself?”
      The fact is that US infant mortality is 39% greater than (and longevity two years less than) under the much maligned NHS — at less than half the cost. The issue is simple: do you want to do the best for the most, or just for those who can afford private insurance?

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