ACA had better work because government is messing with peoples' lives here.
Implementing the Affordable Care Act is an enormous transformational undertaking under the best of circumstances. It is incredibly more difficult when half of the government is sniping when they could have been and should have been helping.
If ACA has problems it is as much Congressional fault as the President.
Now, in the beginning of this administration, Dr. James Rodger and I published a book, for which one purpose was to provide guidance to the Obama administration about how to manage modern government systems, beginning with how to overhaul and create them.
The President appeared to be going down the right track, having appointed a Chief Information Officer, a Chief Technology Officer, and Chief Performance Officer. Those three chiefs commanded tribes of experts who should be able to develop modern management information systems and tools to assist the chief executive. They could and should have worked with Congress in the design and implementation of systems such as the Affordable Care health delivery and management system.
One problem is that the American political system is itself inept at modern management technology application. It begins with incompetence in both the Executive and Congressional branches of government.
All laws should be looked upon as systems in their implementation. They should be modeled such that performance outcomes are known and measurable with regard to cost, time, and resource application and consumption. We should know the value added and assets created as a result in every instance. That is what Smart Data, Enterprise Performance Optimization Strategy, © 2010 Wiley is about.
None of the assigned “chiefs” performed properly and left early from their assignments without accountability. One is running for Lt. Governor of Virginia and citizens should be suspect about voting for him because he failed at his federal job.
Glitches are to be expected in every system. You should not “go-live” until and unless you believe that the system will perform 90% or better.
“Glitch-filled ObamaCare rollout
decried as 'train wreck' by critics
Critics like House Speaker Boehner call glitch-filled rollout of ObamaCare insurance 'exchanges' a 'train wreck,' saying the website is poorly designed, as the Obama administration dismisses the problems as a result of overwhelming interest.”