Wednesday, October 30, 2013

ACA Rollout Hearing: I could be wrong, but...

I've been watching the hearing in which HHS Secretary Kathleen Sebelius is being questioned about the stuttering, stumbling roll-out of the Affordable Healthcare Act website. The hearing has been remarkable in its consistency, left and right. 

The folks on the left side of aisle keep showing their ACA support while expressing irritation and frustration, but it's clear these folks want the ACA to work (even though many of them wanted single-payer Medicaire for all, ideally). 

Meanwhile, the folks on the right side of the aisle keep proving they have no desire to see it work and are clearly delighted that the rollout has stumbled, even as they express their mock irritation and want us all to believe they're suddenly deeply concerned that things aren't working too well. 

A couple of things come to mind. 

A large number of states refused to declare their own state-based exchanges, which were the original plan for the ACA, and they instead entered the national healthcare exchange, whose portal is the healthcare.gov site, which is having so many implementation problems and about which this hearing is being held. In almost every case, the states with their own exchanges are seeing popular support of the ACA, seeing thousands of people enrolling, seeing premium prices going down on average, and seeing users having little to no difficulty/problems with their web portals or their state-based implementations of the ACA. 

On the other hand, in almost every state that deferred starting its own health exchange and whose state representative(s) is(are) at the hearing today, problems are being reported, albeit being reported anecdotally (and possibly being exaggerated but I will admit if I'm wrong about this). Many if not all of these same states sued the US Government (or the IRS) to get the ACA repealed because of their disagreement with the individual-mandate portion of the ACA (which was ruled to be constitutional by the SCOTUS), many of these same states are run by the very people who have publicly stated they want the ACA to fail, or simply be repealed, defunded, or all three (and have unsuccessfully voted over 40 times to have this happen), and many of these same states have representatives who routinely cry "states rights" when they perceive overreach by US Government yet are blithely willing to give themselves over to a federally run portal for the ACA. 

Is it possible that there is a real connection here? Is it possible that the implementation of the ACA, which, again, had state exchanges as its original intent (i.e., not a single national exchange), might have gone far more smoothly had these complaining states instead chosen to help everyone, and to at least help their own populations, by creating their own exchanges? 

Put another way, is it possible that the implementation of the ACA, which was voted on, passed, became law, survived SCOTUS oversight, and is now up and running might have had a cleaner rollout if all the United States of America had taken part, had pulled together, and had worked earnestly to make this thing happen, rather than to complain, resist, sue, waste time, posture, obfuscate, and generally demagogue, deny, and decry something that such a truly small portion of the US population really needs? 

It's amazing to me that these same folks who have so obviously worked against the ACA --- none of whom has offered any alternatives aside from repealing or defunding it --- are now asking us to believe they are genuinely outraged that the ACA's rollout isn't going more smoothly. They are now also the ones bitching most loudly about the money that has been spent on this rollout, which is a pittance compared to the good it will eventually do but plain miniscule when compared to the $24 billion these same fools cost us all by shutting down the US Government in order to try to get the ACA repealed, defunded, or both, which everyone (including these same fools) knew was not going to happen, ever!

The truth is that they're delighted the ACA's rollout isn't going more smoothly, and any one of them who says otherwise is just lying. Meanwhile, folks in their states are suffering and being grossly misrepresented by these posers.

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