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Belmont Club

The Curse of Complexity

January 10th, 2014 - 3:44 pm

The administration delivered a resounding judgment on its claim that Obamacare’s website problems were over by firing the prime contractor, CGI Federal. The Washington Post, reporting the contract cancellation, explains that  ”as federal officials and contractors have been trying to fix various aspects of the Web site in the past few months, about half of the new software code the company has written has failed on the first try, according to internal federal information.”

They might have guessed the failure rate from the start. In an earlier article, the Washington Post noted that CGI Federal was “filled with executives from a company that mishandled at least 20 other government IT projects, including a flawed effort to automate retirement benefits for millions of federal workers, documents and interviews show.”

Now make that 21.

Yet the malfunctions of the website mattered less than one would think. Even if it worked perfectly its intended audience is as perplexed by it as travelers from England at the sight of hieroglyphics. A survey by Enroll America showed that 68% of the uninsured never even logged on to the website. Terms like subsidies, deductibles, plan this or plan that were too much for some, a fact that was anticipated by the creation of a class of Navigators created and funded by Obamacare itself.

They knew that the target audience would be baffled. The Navigators were created in the knowledge that insurance would have to be provided where basic literacy was no longer to be taken for granted. Recently a bank robber made the news when he handed a holdup note to a teller, only to have the teller unable to read it. In a recent, high profile murder trial the star witness proved unable to read her own declaration when questioned on the stand.

At least some of the uninsured will be in similar case. The Navigators have to fix this problem. Their job, not to put too fine a point on it, is to fill out the form for those who can’t fill it out themselves, nor in fact be able to understand the form in the first place. Time Magazine’s Detroit Blog described the effects of the best union provided public education that malfeasance can buy. Those fine institutions of learning posted the worst math scores in the 40-year history of the National Assessment of Educational Progress test.

“These numbers are only slightly better than what one would expect by chance as if the kids had never gone to school and simply guessed at the answers,” said Michael Casserly, executive director of the Washington-based Council of the Great City Schools, which represents large urban school districts. “These numbers … are shocking and appalling and should not be allowed to stand.”

Shocking, but not surprising. The Navigators are a testament to that. At least no more surprising than the performance of CGI Federal.

This can create security problems and not a few misunderstandings, such as people thinking they are covered when in fact they are not.  How could they tell if they don’t know what the terms they are agreeing to means? The sad sight of people being turned away from hospitals they had entered believing they were entitled to  healthcare is a symptom of this. It is little wonder that “dozens of House Democrats broke ranks with President Obama on Friday to support legislation that would require people to be notified of security breaches under ObamaCare.”

Security breaches are going to happen and they want to distance themselves from it.  Readers will recall the president himself symbolically enrolled in a Bronze plan in Hawaii by instructing aides in Washington to fill out the forms in person.

This does not sound like a vote of confidence. Indeed much of the Federal Government has exempted itself from Obamacare. Combine a website half of whose code is dead on arrival and a cadre of Navigators who are resisting state rules requiring them to submit to criminal background checks and what do you get? You get what you’ve got.

The administration is trying to fix the original complexity of Obamacare by transforming the the intially screwy design into other systems with the same level of unsolvability. Take a set of rules many times longer than the Bible and turn it into millions of lines of defective code? Not working? Now take an army of Obamacare Navigators and get them to fill in the forms for those who can’t make it out.

That will fix things, won’t it?  It will not. As I have written before, the problem is in the complexity of  the business rules;  in the actuarial characteristics of the system;  in the lack of money to fund a system that is more expensive than the one it replaces. But the idea is that if we transform a complex problem into other complex problems of the same degree then we have simplified things. Good luck on that.


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Top Rated Comments   
I'm smarter than the average bear and know a lot about standing up some new thing in a government, but I have to admit that I haven't a clue how you'd get a government to design and get working something like ObamaCare.

Under the exigencies of war or something close to it when you can bring every genius in the Country into the government to solve problems for $1 a year, you might be able to do something wholly new, e.g., the Manhattan Project, the Moon Shot. First, I don't know that they were serious; there is some credibility to the notion that they didn't care whether it worked or not because they wanted it to fail as the predicate to pure single payer. This notion gives more credibility to the thinking processes of lefties than I'd normally give, but it is possible. More credible to me is that like typical lefties, the arrogant M-F'ers were clueless about the problems and thought that because they had a good idea, it would all just fall into place. That's is more common lefty thinking; I don't think I've ever met one who was actually prepared.

I've tried to build replacement systems for big government computerized systems for managing payroll, finance, budget, and personnel administration. None of these were being sprung from Zeus' head; we were just updating and enhancing existing systems. It is damned near impossible to do! Nobody in government knows a thing about their work except their limited day to day duties. Even high level employees don't have much idea of the context of their job, the why of doing it. You can bring in a group of Subject Matter Experts (SMEs) and spend days with them and you'll know one Helluva lot about process and NOTHING about purpose.

In my experience a couple of geniuses in a garage or scribbling on cocktail napkins in a bar could maybe have stood up a working version of ObamaCare. There is NO effin' way government or the parasite contractors to government could do it.
45 weeks ago
45 weeks ago Link To Comment
It boggles the mind to imagine how many ways Obamacare can fail in 2014, and how unprepared the Democrats are to deal with it.

1) A surge in Medicaid enrollment and ACA subsidized enrollments will occur (after all, who can resist more "free" stuff). There is no provision in the federal budget to pay for this. When the bill comes due, presumably by the next federal fiscal year (9/2014), the budget deficit will balloon as the treasury hemorrhages. The insurance companies will need to fed every single month.

2) As healthy people drop off the rolls due to a deliberately overpriced product, older and sicker people who cannot do without will skew the insurance actuarial charts, causing the insurance companies to run a deficit. Two results: One, increased Federal deficit due to contractually required bail outs, and two, the rates for 2014-2015 that all Americans pay, including those now covered by employer health plans will explode. Companies may drop health insurance, but many will simply explain the facts of life to their employees, and pass the $400 to $800 increase to their employees.

3) Obamacare web problems cause the system to simply implode. So, the prime contractor was fired, leaving whom exactly, to run and fix the system? Best case: many of the people working on the system (i.e. that know anything about it) were contract employees, and will transfer over to become contractors or employees of the federal government, or the next federal contractor (awarded when, 2015??). If these developers roll off with the exit of the company, four years of institutional knowledge goes with them.

4) Average, middle class people whose insurance has been disrupted by Obamacare are denied medical care, or receive inadequate medical, causing a rash of illness, deaths, or at least, emergency room medicine.

There are many, many ways which Obamacare will fail, and thru that failure, indict every Democrat politician in office for ruining the American medical health care system. The masks will be off, and every Democrat social program will be revealed as suspect, if not a fraud.

When your son or daughter has a belly ache, and sits in the waiting room 12 to 24 hours until their appendix burst and kills them, the Obamacare/ACA will no longer be simply an intellectual exercise for the Washington pundit class.

You will be out for blood.
45 weeks ago
45 weeks ago Link To Comment
1) The number of uninsured Americans is increasing directly due to Obamacare.
2) Most Americans get insurance through work, and this year, most of them will lose that coverage completely.
3) The relatively miniscule number who have a) attempted to sign up, b) think that they have signed up, and c) actually paid some premium at least once have absolutely no certitude that they are signed up, that their payment has been credited in any way [let alone for themselves], or that they are covered for anything.
4) Leaving aside the fact that the software is not compatible with existing Federal databases; they have admitted that they have not yet written the software to handle the payments to insurance companies, let alone tested it.
5) Just as a passing thought, the law says that until the payment is received by the insurance company, there is no contract for insurance.
6) Also unwritten and untested are the security protocols for the websites. And there have been numerous indications that the exchanges and Federal site have been compromised.

7) If they have not successfully signed up, paid, and had it properly be processed; when they seek medical care they will find that they have no coverage at all.

8) Speaking anecdotally YHS has insurance available through my retirement for myself and my wife. It would cost $1200 a month for a policy that gives me my doctor of choice, hospital of choice, and an annual deductible of $2000, and 80/20 coverage after that. Being retired, that is too great a chunk of change and we made the decision to pay cash for our medical needs until Medicare kicked in. And we have succeeded wonderfully for the last several years.

The cheapest plan I can get [my retirement income is enough to preclude Medicaid, which I would refuse anyway] is the Bronze Plan. It would cost hundreds of dollars more a month than my retirement plan and total more than 1/2 of my income. It would require I accept doctors and hospitals of known dubious competence. And it has a $12,000 annual deductible before they pay anything. And once it kicks in, it only pays 60/40. Why would I accept that?

Add to anecdotal evidence; with the exception of those signing up for Medicaid [and they could have always signed up for Medicaid] literally everyone I have encountered is facing similar or worse problems as I with the new plans. I can find no one who is not functionally going on welfare who has come out ahead under Obamacare.

9) As more and more people lose coverage and are priced BY THE OBAMA ADMINISTRATION out of the possibility of being able to afford medical care, there will be gaps in coverage that include those with life threatening chronic conditions. There will be gaps in getting medication. Keep in mind that diabetics who are now insured routinely get drug benefits that cover oral meds, insulin, and test strips. As an example, a box of 100 glucose test strips costs $20-30 with insurance. Without, they are about $120. You need to test 4-8 times a day, which means that you need 2-3 boxes a month, and have to put out cash money for them that you did not before. And that is before accounting for insulin and oral meds. Failure to treat and control means ketoacidosis, and either death or time in an intensive care unit. I have diabetics in my family, and am familiar with this cycle. And that is just for one disease.

People are going to start dying, this year, from Obamacare. People are going to start going bankrupt this year, from Obamacare. People are going to be penalized, their assets seized, and/or be jailed by the Federal government for being unable to afford to pay an exorbitant premium demanded by the Federal government AND at the same time pay uninsured prices for medical care.

A criminal record IS part of being an Obamacare Navigator; because everybody connected with this is a criminal.

Subotai Bahadur
45 weeks ago
45 weeks ago Link To Comment
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All Comments   (63)
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Why do I suspect that CGI Federal will be awarded a nice fat government contract at some future date?
Probably explain that they simply needed more time and money and everything would have worked out, that and maximum donations in the right places.
45 weeks ago
45 weeks ago Link To Comment
Liberals (er, "progressives") think they are far more competent at running any complex economic function than the free market is. They have no faith in a system where everything is coordinated only by price because price does not include social factors. Instead of trusting individual participants in the economy to make their own decisions based in part on their own moral frameworks, liberals must impose social criteria from the collective hive mind. Thus they must set all the rules, and with ObamaCare, we see over 2,000 pages of law that includes over 1,000 places where "the Secretary shall determine", that is where a bureaucracy is empowered to make open-ended rules later.

All this to duplicate and eventually to replace hundreds of private insurance companies that had been successfully carrying out a function for several generations via private contract in a state regulatory framework.

This is why economic growth in a socialist economy is "impossible", to quote economist Ludwig von Mises.

see:
Why a Socialist Economy is "Impossible" by Joseph T. Salerno
http://mises.org/econcalc/post.asp
45 weeks ago
45 weeks ago Link To Comment
On another Government Takeover front -- Protein Wisdom has a post that will richly repay your attention and time:

http://proteinwisdom.com/?p=52429#comments

The People's Republic of California holding a "Public Commentary" meeting with the citizens kulaks to allow them to "vote" on pre-ordained methods of the Government taking control over their private property, up to and including confiscation.

Watch the whole thing: it gets better and better as it goes along, and the reactions of the citizens and the Government Numpties are priceless.

More seriously: this is part of the Left's move on all fronts to strip all rights of ownership from the individual, which means enslaving us all (as our Founding Fathers well knew: without property rights, you have no liberty).

I hope you all watch it and do, please, pass it on.
45 weeks ago
45 weeks ago Link To Comment
More about the feds' dumping of CGI Federal: Bruce Webster has a new post on "Obamacare and the Small Switcheroo"-- i.e., whole lotta scapegoating going on here.

". . . the Administration needs a scapegoat to drive into the desert, with all the Healthcare.gov sins laden on its back. . . . bringing in a new firm — in this case, Accenture — provides a lot of political cover for the Administration. Accenture will be free to make recommendations for delays and renovations that might have been politically unpalatable or embarrassing with CGI Federal still in place. As Vijayan at CW noted, Accenture is going to need lots of time to come up to speed on the existing and still-unfinished systems, so those delays can be explained as a natural consequence of having changed prime contractors, instead of an admission of how poorly thought-through and poorly run this entire project has been. . . . .The timing of the switchover — next month — comes shortly before the end of the initial Obamacare enrollment period. All indications are that Obamacare is going to fall massively short of the enrollments it needs to be viable, both in absolute numbers and in the mix of people enrolling."

Webster thinks Accenture might well get the Healthcare.gov website working better, BUT: ". . .that, ultimately, may be the real downfall of Obamacare. Warren Buffet famously observed, 'Only when the tide goes out do you discover who’s been swimming naked.' Likewise, once all the technical problems with Healthcare.gov are resolved, the Obama Administration will no longer have a churning tide to hide beneath; instead, the inherent economic and social flaws of Obamacare itself will be exposed for everyone to see."
http://andstillipersist.com/2014/01/obamacare-and-the-small-switcheroo/
45 weeks ago
45 weeks ago Link To Comment
Subotai Bahadur: "People are going to start dying, this year, from Obamacare. People are going to start going bankrupt this year, from Obamacare. People are going to be penalized, their assets seized, and/or be jailed by the Federal government for being unable to afford to pay an exorbitant premium demanded by the Federal government AND at the same time pay uninsured prices for medical care. …because everybody connected with this is a criminal."

Again I ask everybody, why aren't the bullets flying? Why haven't the people risen up in open BLOODY REVOLT? Why aren't they gathering in large unruly, belligerent mobs around their RepubliDemocanicratic Congressman, screaming and demanding REPEAL NOW and threatening to beat them to a bloody pulp if they don't do it?
45 weeks ago
45 weeks ago Link To Comment
Are you volunteering to be the John Brown for this revolt. It didn't turn out well for him.

Thing is, everyone has come to expect fraud and abuse from the Federal Government, sad but true. But until it hits INSIDE your home, most will remain calm and stock up on ammo. Obamacare WILL hit people where they live and change that condition. I expect it to start gradually and quickly spin beyond the control of the Fed. They believe that too and is why they are giving local law enforcement tanks.
45 weeks ago
45 weeks ago Link To Comment
SpokenEasily: "Are you volunteering to be the John Brown for this revolt? It didn't turn out well for him."

One way or another, somebody is going to be the "John Brown" before this is all over, maybe someone who watched a loved one of his miserably die because of 0bamaCare, and that causes something to "snap" in his head.

And indeed, the Elite in Washington will hang him. But in doing that they will have exposed themselves to be the vile and evil tyrants that they really are. They will have proven that the Constitution is nothing but a dead letter, that the Republic is over, and that we are all left with two stark choices: (1) Open Armed Rebellion, or (2) Submission To Slavery and Penury.
45 weeks ago
45 weeks ago Link To Comment
I take it your answer is no, you are not volunteering to walk your talk.

Talk is cheap. Show me the votes you can round up.
45 weeks ago
45 weeks ago Link To Comment
They knew that the target audience would be baffled. The Navigators were created in the knowledge that insurance would have to be provided where basic literacy was no longer to be taken for granted.

They were also created as a form of spreading the wealth around to the pockets of their loyal Party hacks.
45 weeks ago
45 weeks ago Link To Comment
I attended a presentation given by Obamacare Navigators held at the local library's community meeting room. The presenter's pitch began with OFA and Fauxchahontas talking points about what a bunch of cruel meanies those health plan companies are blah blah hospital bills causing bankruptcies blah blah stop loss provisions unfair blah blah. A retired nurse, the presenter hadn't two facts to rub together bless her heart. She then moved into a brief description of the so-called metal plans.

Only one other person in the audience besides myself understood what the figure in the presenter's slides marked "annual deductible" meant to the family budget. A quarter of those present worried about the monthly charges, the rest expected subsidies or to get on Medicaid via Obamacare. Most people expected to be able to sign up at the presentation but the Navigators were not prepared to do that. Everybody was referred to the 800 number or if they were already social service agency clients, to their agency's office.

In my home state, a traffic violator school or driver's ed instructor is tested, monitored on the job and expected to be much better informed about the relevant rules and facts than these Navigators were. I was alarmed by their incompetence.

P.S. If you go to any Navigator meeting, take a camera. I wish I had.
45 weeks ago
45 weeks ago Link To Comment
It's almost time for the annual meeting for the kids in my sailing class, where they elect their officers and we hand out awards to those who have distinguished themselves. Then we learn something new and have a pizza party. One of the older kids just got good marks on a science project he did, and hopefully we can get him to make a presentation to the other kids.

But it got me thinking. A couple of years ago a Hispanic boy joined us and one day his mother mentioned how glad she was that he had something to do to keep him away from the Chicago street gangs. When it came time for him to re-up, she had lost her job and did not have the money. So I offered him a scholarship to reduce the cost.

Last winter at one of our meetings, he was there doing some homework while his mother sat nearby. Since he was engaged in independent activities and not focused on the group, one of the kids asked if I was happy with him. So I asked Mom if she was happy and was he doing well in school, because if she was happy, so was I.

I could have asked he "Does he make you proud to be his mother?" It seems the answer is "Yes". Then he is doing quite well and I am ready to re-up on providing his scholarship for the new year. Because if he has learned to make another person, his Mom, proud of what she is, he is learning to be a MAN.

That is enough for me.
45 weeks ago
45 weeks ago Link To Comment
What's your point? Attendance awards? And how does that relate to competence in developing a website and actuarial rules?
45 weeks ago
45 weeks ago Link To Comment
I'm smarter than the average bear and know a lot about standing up some new thing in a government, but I have to admit that I haven't a clue how you'd get a government to design and get working something like ObamaCare.

Under the exigencies of war or something close to it when you can bring every genius in the Country into the government to solve problems for $1 a year, you might be able to do something wholly new, e.g., the Manhattan Project, the Moon Shot. First, I don't know that they were serious; there is some credibility to the notion that they didn't care whether it worked or not because they wanted it to fail as the predicate to pure single payer. This notion gives more credibility to the thinking processes of lefties than I'd normally give, but it is possible. More credible to me is that like typical lefties, the arrogant M-F'ers were clueless about the problems and thought that because they had a good idea, it would all just fall into place. That's is more common lefty thinking; I don't think I've ever met one who was actually prepared.

I've tried to build replacement systems for big government computerized systems for managing payroll, finance, budget, and personnel administration. None of these were being sprung from Zeus' head; we were just updating and enhancing existing systems. It is damned near impossible to do! Nobody in government knows a thing about their work except their limited day to day duties. Even high level employees don't have much idea of the context of their job, the why of doing it. You can bring in a group of Subject Matter Experts (SMEs) and spend days with them and you'll know one Helluva lot about process and NOTHING about purpose.

In my experience a couple of geniuses in a garage or scribbling on cocktail napkins in a bar could maybe have stood up a working version of ObamaCare. There is NO effin' way government or the parasite contractors to government could do it.
45 weeks ago
45 weeks ago Link To Comment
In my experience a couple of geniuses in a garage or scribbling on cocktail napkins in a bar could maybe have stood up a working version of ObamaCare. There is NO effin' way government or the parasite contractors to government could do it.

Too true. Always been true. More true today than ever before. I've been yapping here about my current - er, previous - project, "only" $20,000,000 or so, now shut down and discarded. I've built bigger systems than that all by myself, in about a year, but in this organization 50 people working for two years, including me for a few months, could not.

That's just one of the reasons Schumpeter and others go on about creative destruction. The problem is when things refuse to die, that is, they don't work but people keep propping them up anyway. Soon we are all slaves to a zombie king. The plot of "Neuromancer" had that as one of the major plot lines, billionaire with cancer, confined to a vat, causing death and disruption as he tries to find a way to live again.

Did you think all those vampire and zombie shows were increasingly popular for no reason? They are the Jungian archetypes of our times.
45 weeks ago
45 weeks ago Link To Comment
Two anecdotes. Five years ago, our county commissioners decided that our courthouse needed another courtroom to handle criminal trials. We did need one, badly, and they appropriated funds to do so, but they themselves decided they would design it. No one in that crowd was even a lawyer or probably never spent 10 minutes in a courtroom. Well the result was a thing of beauty-the courtroom is so cavernous that the judges bench and counsel tables are so distant as to be in different zip codes; the counsel table are arranged in a "V" formation, not side by side, and neither faces either the judges bench or jury box. The witness is completely blocked from view of the attorneys when they take the stand. Also, The jury box is almost 600 square feet, filled with 30 or so chairs, (we have 12 person juries) and they can barely see the lawyers or the defendant due to the large load bearing column that is situated in front of the counsel table. There is a state of the art Power Point screen that drops from the ceiling by remote control, except that it drops down on both attorneys' heads due to the aforesaid "V" formation counsel tables. Except for the beautiful mahogany furnishings, it is not only useless, but it couldn't be more useless and every single judge has refused to use it.
The second story tops that one-the county commissioners in the adjoining county in our district found a cheap tract of land near the county line, about 20 miles from the county seat and built a state of the art courthouse and jail. It was completed and a ribbon cutting was announced but then someone pointed out that the state constitution requires all courthouses be located within the geographical limits of county seats. The two fixes-annexation, (not feasible because of "spot zoning)" or constitutional amendment, (not feasible due to politics). This "pleasure dome" sits unused and empty.
45 weeks ago
45 weeks ago Link To Comment
"The jury box is almost 600 square feet, filled with 30 or so chairs, (we have 12 person juries)..."--dlsada

Hey, they gotta be able to meet ADA rules. What if all 12 and 6 alternates were in wheelchairs? Had so-called comfort animals? (You're laughing, I know, but a bureaucrat has to think of all these contingencies.)
45 weeks ago
45 weeks ago Link To Comment
Oh so true. I have built/ remodeled several court house, including the US Supreme Court.

One, in the Commonwealth of Virginia, was a hoot. It seems the Commonwealth has standards of design. One of the standards specifies the limits their holinesses can reach in their chambers. (It is based on rank, admin law judges vs full bulls...). What a hoot. Only thing worse is status seeking in academia.

Hell, even bull ensigns weren't that snarky.

LOL
45 weeks ago
45 weeks ago Link To Comment
Subotai - Maybe you should become a greeter at Walmart.

http://washingtonexaminer.com/surprise-walmart-health-plan-is-cheaper-offers-more-coverage-than-obamacare/article/2541670

"New Obamacare health insurance enrollees may feel a pang of envy when they eye the coverage plans offered by Walmart to its employees.

For many years, the giant discount retailer has been the target of unions and liberal activists who have harshly criticized the company's health care plans, calling them “notorious for failing to provide health benefits” and "substandard.”

But a Washington Examiner comparison of the two health insurance programs found that Walmart's plan is more affordable and provides significantly better access to high-quality medical care than Obamacare.

...

Walmart offers its employees two standard plans, a Health Reimbursement Account and an alternative it calls "HRA High" that costs more out of employees' pockets but has lower deductibles. Blue Cross Blue Shield manages both plans nationally.

Also offered is a Health Savings Account plan that includes high deductibles but allows tax-free dollars to be used for coverage.

For a monthly premium as low as roughly $40, an individual who is a Walmart HRA plan enrollee can obtain full-service coverage through a Blue Cross Blue Shield preferred provider organization. A family can get coverage for about $160 per month.

Unlike Obamacare, there are no income eligibility requirements. Age and gender do not alter premium rates. The company plan is the same for all of Walmart's 1.1 million enrolled employees and their dependents, from its cashiers to its CEO.

A Journal of the American Medical Association analysis from September showed that unsubsidized Obamacare enrollees will face monthly premiums that are five to nine times higher than Walmart premiums.

JAMA found the unsubsidized premium for a nonsmoking gouple age 60 can cost $1,365 per month versus the Walmart cost of about $134 for the same couple."
45 weeks ago
45 weeks ago Link To Comment
MP, thank you for letting me start my day with a smile. I can just picture the scene: Customer walks up to Wallymart's front door, SB, standing still in a relaxed parade rest position, slightly to the right of the door. Preempting what he thinks is inevitable, the customer smiles and says,
"Thank you, and a good day to you."
SB hasn't said anything just offered the approaching person a taciturn smile, but he replies,
"Yes, the weather is friendly today. However, have you considered that (1)....
45 weeks ago
45 weeks ago Link To Comment
1) Yep!
2) Had to explain to my wife why I broke out laughing at the computer screen. When I read it to her, she broke out laughing too.
3) Well played, sir.

Subotai Bahadur
45 weeks ago
45 weeks ago Link To Comment
You're a good sport. :)
45 weeks ago
45 weeks ago Link To Comment
Subotai re diabetics: "You need to test 4-8 times a day, which means that you need 2-3 boxes a month, and have to put out cash money for them that you did not before. And that is before accounting for insulin and oral meds. Failure to treat and control means ketoacidosis, and either death or time in an intensive care unit. "

What is an "Intensive Care Unit" under Obamacare? There is lots of IRS in BarryWorld, not so much ICU -- except for paid-up members of the Political Class, of course.

That leaves the other option for diabetics as "Death" -- or, as it is known in Soetero's Universe, Medical Cost Control.

The beauty of the law which Nancy had to pass to find out what was in it is overwhelming. Quit worrying, everyone: medical costs will come down! Which was the whole aim. By the time Obozo finishes his fourth term in office and hands off to VP Kim Jong-un, the US should be spending about the same percentage of GNP on health care as Ireland during the Great Potato Famine.
45 weeks ago
45 weeks ago Link To Comment
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