Tuesday, October 15, 2013

What’s The Worst Case Scenario For Obamacare?

What’s The Worst Case Scenario For Obamacare?
Will Obama wish the Supreme Court ruled differently?
Consider for a moment what will come next for Obamacare, in the context of Ezra Klein’s five thoughts on the disastrous launch of the program – a bellwether of sorts for how the administration failed to live up to the expectations it sold to the law’s supporters and opinion leaders. There are a few different directions it can go from here, but the worst case scenario hasn’t really entered people’s consciences yet, in part because the insurers are staying quiet at the moment. The reality now is that the system is at least a month from actually working, and likelier two or (gasp) three, given the enormous range of problems. And that could make for a real disaster.
As it stands today, at most nine of the state exchanges are working… but while some systems are being announced as “fixed” on the state level, fixed in this case means the ability to look at plans, not to actually enroll. And the fundamental breakdown for the federal exchange hangs on a decision designed to insulate people from the true cost of plans – an approach which is now backfiring given the load it places on the website. The whole storyline is marked by a disturbing failure of basic technocracy: according to the New York Times, as late as the last week of September, HHS officials were still debating aspects of the site, including that requirement making customers register before shopping for insurance.

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