Category Archives: Health care

ObamaCare, TINA, Medical Ethics, and the Health Care Economist

By Lambert Strether of Corrente.

I probably shouldn’t even tangle with David Cutler; he’s from Harvard, and he’s wicked smart. Anyhow. Also too, he advised the 2008 Obama Campaign on health care. But there were some things he said in this recent interview with PBS (and in his now famous 2010 letter to Larry Summers) that really ticked me off, and so I want to lay down a few markers. First, let’s look at two charts:

Read more...

Bob Goodwin: Software Engineering in Crisis – Healthcare.gov is Just the Dead Canary

It has been a good generation to be involved with software. The scarcity of the skillset combined with the demand for the output have generated outsized incomes, while the work has been consistently rewarding. Our quirky group of builders has had an outsized influence on our industries, not to mention our culture and ideals. But that influence is looking less benign as the rigid procedures of computing are changing commercial relationships and the application of the law.

Read more...

ObamaCare Rollout: Administration PR Tactics and the First Release of Enrollment Numbers

The “enrollment” numbers for the Healthcare.gov website, even using the Administration’s Orwellian definition of “enrolled” was barely above half of the scary bad number published as a rumor by the Wall Street Journal earlier this week.. Generous application of porcine maquillage followed.

Read more...

Michael Olenick: Comprehensive Review of ObamaCare Plans Reveals Not Only High Cost for Atrocious Coverage, but Also Apparent Violations of ACA Requirements

After five weeks healthcare.gov presented insurance policies for my family to purchase. No wonder the website was dark for so long: the plans are expensive, atrocious, and the insurance companies look like they are cheating.

Read more...

The ObamaCare Rollout, Organizational Dysfunction, and Public Relations in the Administration

By Lambert Strether of Corrente.

Administration officials and defenders often claim that demand and volume overloaded the Federal exchange when it was rolled out. This claim is, in fact, not true, and I’d like to see what that lie tells us about organizational behavior inside the administration, and how it will react to future ObamaCare problems — which will be numerous.

First, some examples of the false claim, both from the administration and its defenders:

Read more...

Michael Olenick: Obamacare Will Lead Me Either to Get Divorced or Leave the US

Yves here. While readers may contend that Michael Olenick’s case is an outlier and anecdotes are not the same as data, the extreme secretiveness of the Obama Administration combined with deliberately misleading statistics leads one to give some weight to anecdote in the absence of better facts.

Read more...

Michael Olenick: How My Experience with Healthcare.gov Shows “Better” Software May Not Be the Solution

By Michael Olenick, a regular contributor on Naked Capitalism. You can follow him on Twitter at @michael_olenick

This piece about my attempts to enroll on healthcare.gov runs the risk of being long, frustrating, and potentially repetitive, but that simply reflects the experience itself. But it also gives a taste of the nature of the problems and where the remedies might lie.

Read more...

Obama’s Remarks on the ACA Rollout Debacle: From Selling Hope and Change to Hawking Insurance

By Lambert Strether of Corrente.

Obama’s “remarks” are a sales pitch. WaPo’s MoDo, Dana Milbank: “Not since the Ginsu knife cut through an aluminum can and still sliced a tomato has America seen a pitch quite like the one President Obama delivered.” Much more importantly, Jon Stewart: “When did the President of the United States turn into Gill from the Simpsons?” The Wordle tells the story; let’s break out the color coding magic markers:

Read more...