Federal health insurance exchanges … this will not go well

How can anyone feel good about this? We’ve got a bunch of states stating they will not create exchanges simply because it will cost way too much money, which leaves the responsibility to President Obama’s Department of Health & Human Services to create and manage this boondoggle.

I’m telling you right now. This will not work, nor will it go well. From The Hill.

The Obama administration faces major logistical and financial challenges in creating health insurance exchanges for states that have declined to set up their own systems.

The exchanges were designed as the centerpiece of President Obama’s signature law, and are intended to make buying health insurance comparable to booking a flight or finding a compatible partner on Match.com.

So the writer thinks this will be as easy as booking a flight? Well, maybe enrolling in the exchange will be easy, but the problem will come when you try to get the actual service you need. Kind of like buying an airline ticket come to think of it.

As mentioned, a bunch of states do not want to participate and have filed suit to get out. Elise Viebeck (the author) writes…

It’s a situation no one anticipated when the Affordable Care Act was written. The law assumed states would create and operate their own exchanges, and set aside billions in grants for that purpose.

No one anticipated this? Ms. Viebeck, let me introduce you to the Sound Off Sister. Viebeck’s remaining paragraphs confirms the Obama administration knew this would happen.

Every state must have an exchange by Jan. 1, 2014, meaning HHS doesn’t have a lot of time to do a massive amount of work. The department could quickly run through a $1 billion fund designated for implementing the exchanges.

So in-other-words, it looks like if the states don’t have exchanges, HHS steps in by design … it’s a situation that was anticipated then? But of course, they only allocated $1 billion to set it up … this budget figure will be blown by 2,000% in no time.

Constructing these sites is just one task facing HHS when it comes to states that have decided not to do the job themselves.

Each portal will require a front end — the interface consumers will use to submit their information and shop for plans — and a specialized back end that is customized based on the state.

HHS will also construct a range of other systems: a federal data hub for verifying user identity; programs for user assistance; a way to certify that health plans meet federal standards; a way to navigate the exchanges via phone or apply for coverage by mail; and so on.

Goodness grief this will be a disaster of unmitigated proportions.

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Steve McGough

Steve's a part-time conservative blogger. Steve grew up in Connecticut and has lived in Washington, D.C. and the Bahamas. He resides in Connecticut, where he’s comfortable six months of the year.

13 Comments

  1. Plainvillian on November 26, 2012 at 5:46 pm

    Instead of going Galt, how about a successful American version of Guy Fawkes?



  2. Lynn on November 26, 2012 at 5:50 pm

    You did not have to be Kreskin to know Obamacare would be a disaster of unmitigated proportions. We in RVO knew it. But, obviously it never occurred to members of Congress who voted for it.



    • SeeingRed on November 27, 2012 at 8:43 am

      I dunno…I could be a tad more cynical.? That sets the idiot bar pretty low for those in Congress who voted for it (all Democrats and New England RINOs).? I think they were brow-beaten, bribed and cajoled into voting for it.? I think many (most) thought they’d be out of Congress before any consequences and even at that, could deflect any individual responsibility for the oncoming train wreck.

      Simply, I don’t think they cared a wit about success of the program or what it would do to the country.



  3. joe_m on November 27, 2012 at 8:41 am

    Of course Congress knew, that’s why they exempted themselves from it.
    Just another crisis for them to “fix”.



  4. yeah on November 27, 2012 at 9:12 am

    Solvency was the first thing they left out of this monstrosity.



  5. JBS on November 27, 2012 at 10:05 am

    I am dazed and confused by all of this ACA stuff . . . if anyone knows how this thing is going to work . . . how this ACA is going to effect the Average Citizen . . . ??? Everyone spouts meaningless buzzwords, points fingers (rightly so), but there is no real information? . . .?
    ?
    All I can be fairly certain of is this monstrosity of a law is going to cost people like me LOTS of money. . . which will only get worse . . . costs will spiral upward . . .
    ?
    And, in the spirit of “follow the money,” who is going to get rich from this?
    ?



  6. Murphy on November 27, 2012 at 12:21 pm

    Simple, one healthcare provider put the doctors on Ellis island and form a nice queue down the Jersey Shore ….. to Florida. No need for death panels as the ones you don’t want to waste money on will die in line.
    ?



    • chetisyourbet on November 28, 2012 at 9:53 am

      That is what is happening in Canada, Ireland, Spain and England.? People are dying in line while waiting for appointments, scans, Tests and operations.
      ?



  7. once was on November 27, 2012 at 5:18 pm

    How could anyone know how it was going to work?? After all Pelosi did say “We have to pass it to see what is in it.”??They will never?admit that passing it was a?huge?costly?mistake that we cannot afford.?



  8. Dimsdale on November 28, 2012 at 10:24 am

    Wouldn’t you love to see an open town hall forum, where the preezy and/or Pelosi and Reid had to answer any and all questions about ?bamacare?
    ?
    That would be revealing.



    • Lynn on November 29, 2012 at 11:32 am

      Don’t pay attention to the man behind the curtain
      ?



  9. Tim-in-Alabama on November 29, 2012 at 1:32 am

    I can’t see why it won’t go well. Quit being so negative. Forward, Neutral, Reverse!



  10. Murphy on November 29, 2012 at 8:54 am

    While grinding the gears the Clutch-less B@$^$&ds



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