thewayne: (Cyranose)
There are a lot of reasons, one of the big ones being that the Republicans gutted the funding which forced Health & Human Services to scrounge for money which forced them to use almost 50 contractors to build this thing. HHS screwed up in two major ways. First, they didn't appoint a top dog contractor who was responsible for integrating this mess. HHS thought they had the in-house expertise to handle managing it all, and they clearly did not. They also chose a Canadian shop that had a track history of poor performance on government contracts. I have no idea how they got the contract, there's talk that there was some higher level quid pro quo going on, in that the company that bought out the main contractor is owned by Obama fund raisers and that fundraiser-owned company has been hired to fix the mess.

But the second one was a biggie: HHS specified that the system would run on top of a database system called MarkLogic. Not Oracle, not SQL Server, not IBM bringing in something. Most databases used in business for record-keeping use SQL, Structured Query Language. This organizes data in to tables that control the amount of redundant data and do lots of things to enforce data quality. SQL is predicated on algebraic set logic where the tables (sets) are manipulated using set operations: intersections, joins, differences, etc. I've been working with relational databases for about 30 years and I absolutely love the way it works. It's extremely fast, it's extremely robust, and has a very long and proven track record.

MarkLogic is not an SQL database. It uses a technology called NoSQL, which eschews a lot of the strengths of SQL databases, gaining speed, a smaller footprint in the OS, and lower cost. It is a datastore, but not like SQL. It has such a small footprint, as a matter of fact, that pretty much all smartphones use it internally to structure operations.

And MarkLogic seems to be a pretty good database (I've never worked with it). The London Olympics last year used MarkLogic to organize and stream all their data and video, and it performed marvelously. There are lots of examples of MarkLogic performing well.

There's only one big problem: the developers had never worked with it before. So in addition to creating a complex system, the developers had to abandon a lot of their previously honed techniques and learn new ones. New development techniques, new testing techniques. The developers balked at the spec, but HHS held firm.

And now we have the mess that we have.

http://www.nytimes.com/2013/11/23/us/politics/tension-and-woes-before-health-website-crash.html

http://beta.slashdot.org/story/194761
thewayne: (Cyranose)
You deserve better. I apologize. I'm accountable to you for fixing these problems..."
-- HHS Secretary Kathleen Sibelius testifying before House Energy and Commerce Committee

"...You're now blaming it on the contractors and saying it's Verizon's fault."
-- Rep. Marsha Blackburn

"Let me be clear. I'm not pointing fingers at Verizon. We own the site...Hold me accountable for the debacle. I'm responsible."
-- Sibelius

"...The president is ultimately responsible for the rollout."
-- Rep. Gregg Harper

"No, sir. We are responsible for the rollout."
-- Sibelius

Clearly Obama is responsible for the rollout, didn't you see his Amazon Wish List last year where he wanted books on PHP, Java, HTML, and MySQL? Clearly he single-handedly coded the entire system and totally blew it. He's probably running it on a Pentium 3.

The problem with Healthcare.gov is that they used over 50 contractor companies with no one explicitly directing them all. No integration testing. No significant stress testing. Everybody wrote their own little part with very little, if any, coordination. Apparently they didn't design to scale out if more servers were needed. They flubbed the deployment from the beginning and became a textbook case for how NOT to do a huge IT project.

The Massachusetts system, the one that Mitt Romney signed in to law, had the same teething problems. I'm sure they didn't have as many contractor companies working on it, but it took them a while to get their site working properly. Also, they learned that the people registering on the system early are researching and comparing plans, not signing up right away. The signups ramped up the closer it got to the deadline. So few registrations and purchases at this point are meaningless.

The thing that bothers me are the people getting kicked out of insurance plans or having their premiums increased. You've got Obama constantly saying 'You can keep your existing doctor, your rates won't go up', etc., and clearly that's not the case. Is he misinformed, are insurance companies breaking the law, what? I'm very curious what's going on.

Clearly the implementation of the Affordable Care Act is going to be shaking out for the next year or so.
thewayne: (Cyranose)
"Just as the Fugitive Slave Act was an overreach by the federal government, so too we understand that Obamacare is an assault on the rights of individuals."
—Rep. William O'Brien

Yes. Helping the poor and uninsurable get health insurance through a subsidy is exactly like slavery.
thewayne: (Cyranose)
"It's not working...If you want people to get health insurance, the best way for them to get health insurance is to get a job."
—Sen. Ted Cruz, two days before the exchanges open

The law was passed, regardless of whether the RNC tried to participate. It was challenged at the Supreme Court level and survived. President Obama was reelected with the Affordable Care Act being a centerpiece of the campaign, meaning it passed a nationwide referendum. Portions of it are already in effect and have lowered health insurance costs, getting some people rebates from their insurers.

And this one part, the exchanges, don't open until tomorrow. And they exist solely for people who do not have health insurance. People who have insurance don't have to mess with them unless they want to.

Meanwhile, the mantra is that we MUST repeal the ACA. But they're doing the same thing that Mitt Romney did during the Presidential campaign last year: we have to eliminate all of these tax loopholes, but I'm not going to tell you which ones. The ACA is terrible legislation and we've got to repeal it and pass something better, but we're not going to tell you what we're going to replace it with.

I think the Republican's biggest complaint is that one part of the ACA that is in force right now is the part that limits profits to health insurers. Now insurers must spend 80% of money coming in on providing service, this is what has generated refunds because the companies have been paying their executives too much.

I'm not against capitalism, but when it becomes pure greed without concern for the rest of the community, that's too much. I remember Elizabeth Edwards on The Daily Show not long before she died talking about her problems getting treatment for her cancer, and she was the wife of a U.S. Senator. She became a healthcare activist after digging and finding out that 2/3rds of her premiums were going to executive compensation.

Ben & Jerry's ice cream used to have a policy that the CEO was limited to seven times the salary of the lowest paid employee. Once the two of them sold the company and eventually left, that rule went away. I understand some Japanese car companies had a similar rule. Can you imagine the CEO of General Electric having such a limitation?
thewayne: (Cyranose)
"We'd be hard pressed to explain why we were opposed to a bill we were in favor of."
—Sen. Mitch McConnell on Cruz filibuster

Cruz did a couple of interesting things, including reading the Dr. Seuss book Green Eggs and Ham. He seemed to quite revel in the "I do not like" parts, but I don't know if he got to the end and realized that the main character ends up quite liking green eggs and ham. Kind of a poor metaphor to put forth the point that people don't like the Affordable Care Act when your example turns around to liking what it initially hates.

But I particularly like people calling Cruz's speech a fauxlibuster. I think another word has been added to the vocabulary.

I do wish McConnell would explain why they are opposed to the Affordable Care Act when initially it was a Republican plan put forth from the Heritage Institute think tank. Both Heritage and the RNC now violently oppose the ACA, but neither has come out with articulable, cogent reasons why they're now rejecting their own legislation and neither has come out with an alternative except 'the free market will take care of the problem', when we've yet to see the free market take care of any actual problem.

I think their big objection is that Obama is guilty of Presidenting While Black.
thewayne: (Cyranose)
"I will bet you, for most of you, you go home in the next two weeks when your members of Congress are home, and you look them in the eye and you say, 'What is your positive replacement for Obamacare?' They will have zero answer."
—Newt Gingrich to Republican National Committee meeting

We were going to attend a town hall meeting in Las Cruces next week that surely would have devolved to this topic, but my list of things changed and now it's not possible. Newt is not an idiot, he's a very savvy operator, it was kinda sad to see him reduce himself to the lowest common Teabagger denominator for the last election cycle.
thewayne: (Cyranose)
"It's well known that Roberts, unfortunately for him, has suffered from epileptic seizures. Therefore he has been on medication. Neurologists will tell you that medication used for seizure disorders, such as epilepsy, can introduce mental slowing, forgetfulness and other cognitive problems. And if you look at Roberts' writings you can see the cognitive disassociation in what he is saying."
—radio host Michael Savage

And am looking forward to seeing more excuse-making why it should be repealed.

And for another quote:


"Just because a couple of people on the Supreme Court declare something to be 'constitutional' does not make it so."
—Rand Paul

Sorry, the core of the job of the SCOTUS means that if a majority decides it is constitutional, it's constitutional until the law is rewritten or repealed.
thewayne: (Cyranose)
"[The French Revolution] was a secular revolution on which we relied on the goodness of each other. This is the left's view of where America should go. And of course where did France go? To the guillotine. To tyranny. If there are no rights that the government needs to respect, then what we see with Obamacare is just the beginning of what government will do to you."
— Rick Santorum

I really don't know how to parse this. Who is the 'we' in the first line, we as individuals, we as government, we as the American people? I think his analogy is more than a little far-fetched.
thewayne: (Cyranose)
"Under no certain circumstances will I give the government control over my body and my health care decisions."
-- anti pro-choice Rep. Michele Bachmann

Hmmm, ironic much?
thewayne: (Cyranose)
"There are no Americans who don't have healthcare. Everybody in this country has access to healthcare."
-- Rep. Virginia Foxx

I guess she's the rep from the State of WTF, or perhaps the State of Denial. Or perhaps she just counts having no insurance and going to the ER being health care.

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