Category Archives: Business

What’s Next For Health-Care Policy?

Some interesting prognostications from Ben Domenech:

Obamacare’s struggles have obviously vindicated the positioning of the free-market advocates, too – particularly the ones who have been most vociferous in their distrust of the manageability of Obamacare and Romneycare over the past decade and a half. Conservative and libertarian health policy experts like NCPA’s John Goodman, Cato’s Michael Cannon, Heritage’s Chris Jacobs, Heartland’s Peter Ferrara, and FreedomWorks’ Dean Clancy, who have held to that “this is going to be a train wreck” position despite the efforts of The Fixers, are the victors here. All have their favored alternative approaches to national health care policy reform, whether it be through tax credits, deductions, or full deductibility combined with a bigger investment in the safety net or risk pools. But they all share certain aspects in common: they ditch the mandate and exchange-based approach to health reform, and instead rely on individual responsibility and carrots to achieve universal access to care. And, more fundamentally, they all understood that no group of ”experts,” no matter how wise, could possibly predict and control one-fifth of the American economy – particularly one already so distorted by decades of misguided government intervention.

RTWT.

Can This Web Site Be Saved?

IT experts are dubious.

So am I. As I noted last week on Twitter when the new launch date was announced, it’s based on when it has to be ready, from a political standpoint, not when it can be ready from a technical one. It’s not a case where you can get a baby in a month by putting nine women on the job. And in fact, it has a lot in common with October 1st in that regard.

[Update a while later]

Big-government project, big failure:

The 1960s space program, of course, is a classic example of big government doing something successfully: Promising to put men on the moon within a decade, and doing it. But there are others.

Not far from me is Norris Dam, the very first dam built by the Tennessee Valley Authority. It was filled in 1936, less than three years after the Tennessee Valley Authority Act passed Congress. Note that it was not less than three years after construction started, but less than three years after the act creating the agency that built it passed Congress. Norris Dam worked, and it’s still there today, more than 70 years later.

The Obamacare website — which took longer to create — doesn’t work, and certainly won’t be around in 70 years. And if you think about it, it seems like the moon landing was one of the last times the federal government delivered a big successful program ahead of schedule. I can’t think of many others since.

Unlike Norris Dam, the Olmsted Dam and Locks on the Ohio River were authorized by Congress in 1988, but a quarter-century later the project is only half-done. It has also overrun its budget by a factor of four.

Meanwhile, most of the interesting stuff being done in outer space is being done by private companies. (In fact, President Obama’s space policy approach, which emphasizes private enterprise, is one of his greatest policy successes.)

As it’s gotten bigger the federal government appears to have gotten less competent. Apollo was a success on its own terms, but the big government policies that followed — the War On Poverty, the War On Drugs, the War On Cancer — have all been pretty much failures, sometimes disastrous ones.

And that was when people running the government weren’t as glaringly incompetent as the current circus of clowns.

Dream Chaser

Ouch:

…the Commercial Crew prospect – after enjoying a perfect flight in the air – suffered a mechanical failure during landing, resulting in her flipping over on the runway.

Hopefully it’s repairable.

[Update mid-afternoon]

Here’s the official statement from Sierra Nevada, trying to put the best face on things. And Alan Boyle is reporting that preliminary reports indicate that it will be fixable. “The pilot would have walked away.”

It’s interesting that they did the test on a Saturday. I wouldn’t have thought that Dryden employees would be thrilled about working weekends. Though maybe it’s a better day for getting airspace clearance. We used to do a lot of weekend flying with the T-39 for parabolic flight out of Mojave, because the Air Force was more flexible in terms of giving us a big box of air to work with.

Ozymandias

Updated:

I met a traveler from a fallen land
Who said: A trashed and useless interface
Sits on a website. And linked on the page,
ne’er clicked,, a tattered image lies, whose frown
And wrinkled lip, and sneer of cold command,
Tell that its artist well those passions read
Which yet survive, displayed on the useless screen,
The man that mocked us and the heart that bled:
And under the picture these words appear:
“My name is Barack Obama, President:
Look at my prices, ye insured, and despair!”
Nothing aside remains. From the decay
of that colossal wreck, boundless and bare
The sick and desperate souls stayed far away

As well they should.

Healthcare.Gov

Is it a black swan event?

An IT project with a cost overrun of 150% or more is in the black swan category. Such projects seriously disrupt businesses and costs some workers their careers, he said.

“You can’t really forecast which [IT projects] are going to blow up,” said Budzier, though in hindsight reasons like too tight deadlines may become clear. A tell-tale clue of problems ahead is a categorization of a project as “unique,” he said.

“If your system integrator, if your in-house IT, if everybody tells you that this project is unique, that’s a clear sign that this is going to go massively wrong,” said Budzier.

As Bruce Webster notes in email:

Of course, the natural tendency on the part of HHS & the Administration will be to minimize [as opposed to underpromise and overdeliver] the estimates of how long it’s going to take to fix things — and those estimates will almost certainly be wrong. So what we may see is the ‘Never-Ending Story’ pattern, where for several months they’re perpetually 4-6 weeks away from having Healthcare.gov working properly.

If I were in charge? I’d pull the plug completely and give no completion date at all until the website reconstruction was at a point where I felt comfortable opening it up for public alpha testing. Based on how the alpha testing went, I might announce a subsequent date for beta testing; and if that went well, then and only then would I announce a planned date to go live.

But they’ll find it politically impossible to do that. They’ve put themselves in a box with this legislative atrocity. It’s a Rubik’s cube that someone took apart and put back together to render it unsolvable and, so far, ObamaCare has caused far more people to lose their insurance than to get it.

I hope this costs more than “some workers their careers.” It should be an asteroid slamming into an ideology.

[Update while later]

More from Bruce Webster: ObamaCare and the Project of Doom:

Let me start by saying: there is no royal road to software. Good intentions, earnest efforts, and noble causes don’t count for jack. As I told John Fund over at National Review, saying (as SecHHS Kathleen Sebelius did), “We needed five years but only had two” boggles the mind. It is an admission, inadvertent or otherwise, of profoundly irrational and childish thinking, of magical thinking, if you will. “Clap! Clap to keep Tinkerbell alive!” That type of thinking.

There’s a lot of that type of thinking going on in this administration.

[Bumped]

[Afternoon update]

Kirsten Powers isn’t in denial. The ObamaCare roll out was a disaster for “progressive” politics.

Good.

The Democrats’ United Front

cracks:

Alternate headline: The rats are jumping off the sinking ObamaCare ship. Remember all that talk about how damaged the GOP was after the Obama/Reid government shutdown? My, how things change in just a week. No longer able to obsess over Ted Cruz, the media realizes what a shambles the Democrats have become.

They’re not happy about it, either, but they’ve reached a point at which they can’t ignore it any more.