Affordable Care Act Implementation Woes

I have not written on this up until now and this article is rather old but realize that they are just now getting the front end, that is the easy part stable. I haven’t seen in my lifetime a IT debacle this big this expensive.  Here are some quotes from the NY Times I found unsuprising.

“Cut corners, make date,” said one specialist, who like most of the people interviewed for this article would not allow his name to be used because the Obama administration has requested that all government officials and contractors involved keep their work confidential.


As a result, the president’s signature initiative was effectively left under the day-to-day management of Henry Chao, a 19-year veteran of the Medicare agency with little clout and little formal background in computer science.

Medicare chose to use a NoSQL approach (a fad), which means the back end system may never function with any assurance of accuracy.  The whole NoSQL fad is costing IT a fortune because of fundamental ignorance in computer science.  These approaches were tried and mostly abandoned back in the ’70’s.



The Inevitable Conclusion

Chavez came to power an ardent socialist, a firm believer in “social justice”.  At the time of his death his family were billionaires and the economy in a complete shambles.  The country is on the road to Zimbabwe with the most recent actions.  The mind of the nazi, the socialist, the communist, the progressive, the left liberal etc is in opposition to reality.  Their thinking is magical and people are judged on their intentions not their results.  The results focus of the West lead to the highest expression of human civilization ever.  But for whatever bizarre, strange, pathological reasons some minds reject it and blame it for all the ills in the world.  As if poverty was a by product of Western Civilization and not the default state of man.  Venezuela is returning to this default state while those leaders who destroy freedom and the economy discover a new enemy to blame it on never taking responsibility for their own actions.

The prolific Mish Shedlock has a nice timeline of the demise of Venezuela here.


The world is populated with people who are more concerned about what others are doing than what is going on in their own families.  They are known as a busybody, meddler, marplot, buttinsky, nosy parker, yenta, snoop etc., you get the point.  A certain class of these people will also imagine that they are smarter than everyone else; they will have some evidence which demonstrates they are smart in a particular context.  It could be because they have risen to a high level professionally, academically or financially. “I have PhD, I’m smart”, “I’m a vice-president of sales, I’m smart”, “I founded mega-company, I’m smart.”  And it could well be true that they are smart, but it is equally possible that they are smart only in their particular domain of expertise and once they cross outside they become blithering idiots because the assumptions that worked so well in their domain do not work outside it.  Nevertheless, they feel supremely confident of their opinions and having been successful in one endeavor they imagine they can do whatever they set their minds to whether or not the goal has ever been accomplished before.  You will hear, “the right people haven’t done it.”  The classic example is the idiot who still believes in socialism or communism owing to a persistent utopian stupor of their feeble mind.

These busybodies who imagine themselves your superior are drawn to both money and power as tools to rid the world of some perceived social ill, for example, the desire to drink alcohol, smoke, use drugs, eat junk food, live in poverty  or even entire categories like income inequality.  They love to proscribe.  They love to control the behaviour of people and tell them how to live.  They are expert mind readers sniffing out vestiges of racism, bigotry, misogyny, sub-text, motives and like, all the while maintaining the purest motives themselves.  They tend to feel guilty for their success and see the world as a single pot of limited resources which must be divided properly (by them and their allies of course.) In most cases they will exempt themselves from the planned depredation.  In order for the lumpen proletariat, the plebes, everyman, commoners, to drink deep of the cup of utopian goodness they must control us by seizing our property and our liberty, using laws and regulations as blunt instruments to harass us and consume our lives, providing thin justifications like, “it’s only fair.”  For more than 100 years in America the progressives (whose big ideas had been tried again and again throughout history and failed, i.e. Plato’s Republic, More’s Utopia) have pushed for socialized medicine. Finally, they passed step one with the farcically named bill the “The Affordable Care Act” whose sole purpose appears to be drive everyone into fully socialized medicine.  For the busybody the act is a dream come true.  The masterminds have prevailed. It won’t be long before they will start their home visiting program.  They must prioritize because policing 300M people is impossible.  So who are these high risk people they will visit investigate?  According the health and human services they are as follows:

  • Family in high needs communities as identified by the state
  • The poor
  • Families with tobacco in the home
  • Former members of the armed forces
  • Pregnant females under 21
  • People who have had interactions with child services or charge with child abuse/neglect
  • History of substance abuse or need substance abuse treatment
  • Have children with low student achievement
  • Have children with disabilities

It’s sufficiently general enough to target anyone they wish.  It’s okay because the masterminds are in charge and they have it all figured out. Unless you’re doing something wrong, like chewing tobacco, you have nothing to fear, right?

Is Eliot Spitzer Mentally Ill?

I only ask because he wants to enter the race for New York City comptroller.   In case you have forgotten what he did. Here is a synopsis.  What we can conclude from this matter?  One thing is a certainty, for a period of time he was unable to control his most basic impulses to a degree that he was willing to violate the law, betray his wife and violate the oath of his office.  He requested to be forgiven and it should be granted by those who were injured.  There are, however, always consequences to our actions and it seems to me that his actions disqualify him from office.  Like Anthony Wiener running for Mayor, the former governor goes beyond gall and crosses into a domain where I question his rationality.