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View Diary: Sebelius resigning as Health Secretary (125 comments)

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  •  With the rollout of ACA (12+ / 0-)

    I think her experience of dealing with insurance companies was more important.

    Your beliefs don't make you a better person. Your behavior does.

    by skohayes on Thu Apr 10, 2014 at 04:05:25 PM PDT

    [ Parent ]

    •  Precisely my point, unfortunately (6+ / 0-)

      We have always been at war with al Qaeda.

      by Dallasdoc on Thu Apr 10, 2014 at 04:08:13 PM PDT

      [ Parent ]

    •  I think that is true (8+ / 0-)

      Step one was prying open the door so millions of people could enlist in the imperfect system.

      Step two will be fixing the system.

    •  That, and political experience (7+ / 0-)

      It was important that Sebelius had been an effective governor in a red state and therefore presumably attuned to how to sell ACA to a skeptical Congress and public, as well as experienced in seeing the political pitfalls before they became pratfalls.  Unfortunately, experience in implementing an ambitious IT project wasn't part of her or her team's skill set.

      I think that being able to navigate tricky political shoals and a flair for salesmanship is still a big part of being HHS Secretary, and putting a behind-the-scenes mover and technocratic manager in charge may help the Department's operation, but won't do much in the short term for Democrats running against relentless attacks from Rethugs on Obamacare this fall.

      •  True, but... (5+ / 0-)

        ...I doubt there was/is anybody who'd be able to deflect those attacks. They were going to come anyway, and will continue to come whether the GOPhers take the Senate back or not. All the Teahadists have left is hate. Yes, the rollout was a train wreck, but they overcame it because the idea was simply too good to fail, no matter how many people believe single-payer should have been Obama's first, last, and only option. In this climate, ACA was the best we could get.

        Burwell's still a temporary fix, no doubt, and I wonder how much pressure there'll be on Red-state Dems like Pryor and Landrieu to block her nomination. Whatever happens, the key is to hang onto the Senate and chip away more Teahadists from the House, which I believe can still be done -- particularly given the GOTP's assaults on women and minorities becoming more and more blatant. If we do that, we can start implementing the fixes ACA needs to work better and bring in those who live in states where Medicaid expansion wasn't/isn't happening.

        "If you're going to go down with the ship, make it a submarine." - Wayne Shorter

        by Oliver Tiger on Thu Apr 10, 2014 at 04:36:31 PM PDT

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      •  True, Eztempo. But we forget that much of the (12+ / 0-)

        Healthcare.gov website requirements were caused by the GOP refusing to expand Medicaid and do their own state websites, putting unrelenting pressure on the Feds to do something they never anticipated with the ACA.

        The GOP attempted to sabotage the ACA by dumping their state websites on the Feds, and it worked, to some extent.

        Five years in DC is more than enough "giving to your country" for anyone.  I wish Sebelius the best in her future.

        "Privatize to Profitize" explains every single Republican economic, social and governing philosophy. Take every taxpayer dollar from defense, education, health care, public lands, retirement - privatize it, and profit from it.

        by mumtaznepal on Thu Apr 10, 2014 at 05:21:22 PM PDT

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    •  Thank you. New systems are always bound to (4+ / 0-)
      Recommended by:
      eztempo, doroma, Loose Fur, skohayes

      have issues.  Heads don't have to roll over expected issues.

      •  Agree about new systems, but most of the bugs (4+ / 0-)
        Recommended by:
        wader, BentLiberal, janemas, betelgeux

        should have been ironed out before it went live. It should have been rolled out by birthdate or age or whatever. Expecting a new system to not fail when a gazillion people try to use it all at once shows no planning/knowedge.

        Also, the PR sucked. The message should have been to start slow and expect some problems - but as I said above, most should have been ironed out before start date.

        It’s the Supreme Court, stupid! Followed by: It's always the Supreme Court! Progressives will win only when we convince a majority that they, too, are Progressive.

        by auapplemac on Thu Apr 10, 2014 at 05:45:00 PM PDT

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        •  Unfortunately, that's not how I've seen (4+ / 0-)
          Recommended by:
          eztempo, BentLiberal, Loose Fur, skohayes

          government contracts work, in many cases.

          There are deadlines to meet and you get there by hook or crook, else penalties hit.

          They knew long before the deadline that there were problems, I'm sure.  Still, they had a deadline to meet, one which was highly public, and they put forth a gargantuan effort to bring back-end systems in line with a front-end that had not previously been done in the manner desired.  With late funding for the overall project, thanks to Congress.

          They tried their best and hoped it could stand up for a time, while they fixed the biggest holes in their larger design.  I have few doubts that much of the initial rollout was running on compromised implementations against the original design, because what I saw were sessions being dropped due to back-end synchronization issues in the early stages.  Seems like they were hoping for simple user scenarios to save the early rollout, but the overload of sessions made even less likely against the compromises already made.

          This was a late project in many respects and should have been delayed before rollout, in order to make the essential flows battle-ready.  But, due the highly political nature of getting it going in time for registrations to occur for 2014, they took a chance.  It was a bad move.

          They've since learned and brought the federal website implementation to where it was more or less meant to be, but expecting them to have ironed out all the bugs up-front in this particular situation was unfortunately never an option provided to the team, I feel.

          None of this speaks to the quality of project leadership in getting to Opening Day, as I have no insight to that aspect of the work.

          "So, please stay where you are. Don't move and don't panic. Don't take off your shoes! Jobs is on the way."

          by wader on Thu Apr 10, 2014 at 06:42:36 PM PDT

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        •  I remember when the Navy switch their (0+ / 0-)

          computer system to the Army's.  Glitches were expected and perfection was made as we rolled along.  Any changes needed were taken from the input of admin and payroll personnel until it worked perfectly.  

          Suddenly the Dems have to provide a spotless, glitch-less project or else the republicans and media are going to scream until someone is fired.  The worst part is the Dems who are too coward to say "shut up and stop the whine".  Surely the republicans have not done one thing for the american worker, so who gives a hoot on what they cry over.

          Dems need to stop throwing innocent people under the bus just to satisfy the republicans, who btw laugh every time one gets fired.

    •  I would think that she would want out ... (2+ / 0-)
      Recommended by:
      Loose Fur, skohayes

      after all of the vilification.  The job isn't permanent.

      Right after a big 7.1 gets posted on the board is the perfect time.  Any earlier, and it looks like defeat, retreat, and an acknowledgement that Obamacare doesn't work.

      Later, the vilification will start right back up.

      Take the victory, take a bow, and leave the stage.

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