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The Obamacare Debacle: It's Everyone Else's Fault

Tyler Durden's picture




 

As the Congressional hearing, to apportion blame for the farce that Obamacare has already become, gathers steam the overwhelming theme from the four witnesses is "it's not our fault," and as much as the Congressmen dive deeply into the process, the more it is clear that the left hand had no idea what the right hand was doing in yet another government-funded SNAFU. The entire discussion can be summed up by CGI's comments that "our portion of the application worked as designed." Indeed, all of the contractors point the finger back at the government's Centers for Medicare and Medicaid as responsible for "end to end testing," and ultimately the #fail.

 

Live Coverage via C-SPAN (click image for link)

 

Written statements from the 4 contractors:

 

Via WSJ,

According to prepared testimony, CGI Federal, the lead contractor for HealthCare.gov, will say the federal agency in charge of the project was "the ultimate responsible party for the end-to-end performance of the overall" health exchange.

 

...

 

CGI also said its system passed eight technical reviews before going live and that problems came instead from a system designed by another contractor, UnitedHealth Group Inc 's Optum unit, which verifies users' identities. That "created a bottleneck that prevented the vast majority of users from accessing" the exchange, according to testimony of Cheryl Campbell, a senior vice president at CGI Federal.

 

...

 

Committee Chairman Fred Upton of Michigan  asks the contractors if they knew the site would have “crippling problems.” CGI’s Campbell says that “our portion of the application worked as designed” and repeated that “end-to-end testing was the responsibility of the (Centers for Medicare & Medicaid).”

 

“We anticipate that people will be able to enroll in the time that is allotted,” said CGI’s Campbell (which is Dec. 15 if you want insurance on Jan. 1). “As painful as it sounds, I know it’s a difficult system, but the system is working.”

 

...

In summation, it seems that the following sums it up all too poerfectly...

“If there was a silver bullet to answer that question, I would give it to you,” says CGI’s Campbell. “It’s the end-to-end aspect that is a challenge.”

In other words, whoever was running the overall project was asleep at the wheel...

 

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Thu, 10/24/2013 - 11:19 | 4086376 PartysOver
PartysOver's picture

Just Bush's fault

Thu, 10/24/2013 - 11:21 | 4086383 Gamma735
Gamma735's picture

Nah. It is just one person's fault and that is Obama. 

Thu, 10/24/2013 - 11:31 | 4086417 hedgeless_horseman
hedgeless_horseman's picture

 

 

The following provision, in a nation of deadbeats that cannot put their hands on $2,000 cash for an emergency, when combined with $2,000 deductibles and 70/30 co-pays, is going to be the mother-of-all-unintended-consequences.

Furthermore, health plans from the marketplace could present financial obstacles for physicians, because those health plans are required to have a 90-day grace period for policyholders that do not pay their monthly premiums on time. While other health plans would cut off coverage if a patient did not pay their bill on time, the health plans offered in the marketplace would still indicate the patient was covered during that grace period, and retroactively revoke payments to the physician for treatment provided during that time. In those situations, the doctor would be forced to seek payment from the patient for services already provided.

 

http://www.kaiserhealthnews.org/Stories/2013/October/21/Texas-Doctors-Un...

 

Short providers, long insurers, long collection agencies.

Thu, 10/24/2013 - 11:32 | 4086437 jcaz
jcaz's picture

Absolutely correct-  just what Shaniqua's crew lobbied for ......

Will be amusing to watch the docs go on strike once they realize they're being bent over on this deal......

Thu, 10/24/2013 - 11:35 | 4086450 GetZeeGold
GetZeeGold's picture

 

 

 

Once Bush put out the plan for America's demise.....nothing could stop it.

 

P.S. watch out for the ACA trolls!

Thu, 10/24/2013 - 11:37 | 4086459 Yes We Can. But...
Yes We Can. But Lets Not.'s picture

Testifying next week: Supercilious Kathleen Sebelius

Thu, 10/24/2013 - 11:42 | 4086478 hedgeless_horseman
hedgeless_horseman's picture

 

 

The insurance company lawyers and actuaries that wrote Obamacare are very intelligent.  The government workers that must implement it are fucking retards.

Thu, 10/24/2013 - 11:42 | 4086489 BaBaBouy
BaBaBouy's picture

FUNNY Eh...
The Repubs' Were RIGHT.
DEFUND UbamaCare DEBACLE.

Thu, 10/24/2013 - 11:46 | 4086508 knukles
knukles's picture

Telling Freudian Slip.

One of the Insurance Execs on the Sunday Press Reach Arounds said something like:  "We got a lot riding on this."

Yeah, a program of the peasantry subsidizing the profits of the health insurers at the point of a spear.

Thu, 10/24/2013 - 12:17 | 4086666 Herd Redirectio...
Herd Redirection Committee's picture

My father is a doc, and my sister is just finishing Medical School.  In Canada, though, not the US!

Suffice to say, the docs are going to catch on quick.

Thu, 10/24/2013 - 12:19 | 4086678 Meat Hammer
Meat Hammer's picture

the docs are going to catch on quick

Wait, I think I've heard this before.......something about the law of unintended consequences, or something like that.

Thu, 10/24/2013 - 12:24 | 4086705 Vampyroteuthis ...
Vampyroteuthis infernalis's picture

This mess is expained with three simple concepts of gov't contractors,

1) Expect high quality, large projects on a lack of funding with too tight a schedule. Anyone who is competent will not bid at this point.

2) Hire incompetent contractors (i.e. politically correct "minorities")

3) Hold no one accountable.

My father worked for the US government and can explain it all in a nutshell.

Thu, 10/24/2013 - 12:47 | 4086836 Joe Davola
Joe Davola's picture

If only they'd been huddling instead of standup scrums.

http://www.youtube.com/watch?v=Azl4nqLn4-Y

Thu, 10/24/2013 - 12:53 | 4086867 Troll Magnet
Troll Magnet's picture

umm..we didn't build it?

Thu, 10/24/2013 - 12:25 | 4086710 redpill
redpill's picture

Who says it's unintended?

Thu, 10/24/2013 - 12:32 | 4086762 Meat Hammer
Meat Hammer's picture

+1

Thu, 10/24/2013 - 14:15 | 4087238 TeamDepends
TeamDepends's picture

Ouch, stop Cloward-Pivening me!  Stop it!

Thu, 10/24/2013 - 14:59 | 4087463 icanhasbailout
icanhasbailout's picture

Doctors in general are nowhere near as smart as popular myth would have you believe. Doctors get bent over on the business end all the time and most have little clue that it's happening, and wouldn't be able to figure out what to do about it if they did.

Thu, 10/24/2013 - 11:44 | 4086480 BaBaBouy
BaBaBouy's picture

...

Thu, 10/24/2013 - 11:41 | 4086485 r101958
r101958's picture

S.O.S.D.D. (Same Old Schmidt, Different Day!).

Thu, 10/24/2013 - 11:44 | 4086494 knukles
knukles's picture

Man, I could make a fortune as a professional "testifyer" for people.  All my life I been telling everybody that it's "Not my fault.  It's everybody elses.  Who me? I wasn't there, nobody saw me, you've got no witnesses. I've excuses.  I got alibis.  They said they wanted it that way.  I did what I was told.  Just following orders. I don't know whatchur talkin' about.  FFS, leave me alone.  I don't know."

I'm a professional at this shit.  I could sit in for everybody so they wouldn't waste their precious government paid useless time.
And Congress Would Still Get As Much Information as it Gets Now.

Thu, 10/24/2013 - 21:01 | 4088677 Himins
Himins's picture

^^^^THAT^^^^ FUCK I LOVE YOU

Thu, 10/24/2013 - 11:41 | 4086482 CaptainObvious
CaptainObvious's picture

"'I quit when medicine was placed under State control, some years ago,' said Dr. Hendricks. 'Do you know the skill it demands, and the years of passionate, merciless, excruciating devotion that go to acquire that skill?  That was what I would not place at the disposal of men whose sole qualification to rule me was their capacity to spout fradulent generalities that got them elected to the privilege of enforcing their wishes at the point of a gun.'"

~ Dr. Hendricks, on why he went Galt, Atlas Shrugged

Thu, 10/24/2013 - 12:13 | 4086640 alangreedspank
alangreedspank's picture

They've realized this for a long time. ACA aka The Herding of Doctors and Patient at Gunpoint

Thu, 10/24/2013 - 17:16 | 4088039 Quantum Nucleonics
Quantum Nucleonics's picture

Most doctors are fairly bright people, and many of them saw this coming.  That's why they are either (a) closing shop and going on salary with hospitals, (b) closing shop and retiring, or (c) switching to a concierge model.

Thu, 10/24/2013 - 11:32 | 4086441 ParkAveFlasher
ParkAveFlasher's picture

long collection agencies.

 

I'm following PRAA.  Charts like a ride in the country.

Thu, 10/24/2013 - 11:33 | 4086444 King_of_simpletons
King_of_simpletons's picture

What's with the 90 day limit these days ?

Thu, 10/24/2013 - 12:11 | 4086453 hedgeless_horseman
hedgeless_horseman's picture

 

 

It has been 30 days for almost all commercial plans.  You don't get to have surgery this month unless you have paid your premium for this month, so the carrier will then guarantee the provider gets reimbursed.

The 90 days grace period, when combined with the ability to recoup all payments to providers when, not if, the poor sick or injured fuckers cannot pay the third month's premium BECAUSE of the $2,000 deductible and 30% co-insurance, is a HUGE FUCKING GIFT TO THE INSURERS.  THEY GET TO COLLECT THE PREMIUMS UNTIL THE PERSON GETS SICK OR INJURED, THEN THE POOR DEADBEAT, BUT MORE LIKELY THE PROVIDER, GETS STUCK WITH THE BILL.  Patient gets treated, insurance company gets premium while patient is healthy, and the only ones that lose are the providers.

1)  Collect Premiums

2)  Don't pay providers

3)  Profit!

Thu, 10/24/2013 - 12:16 | 4086658 vxpatel
vxpatel's picture

So far i've learned more about the ACA through your posts than the hours of talking meat puppets on the network....thanks for your great posts....

Thu, 10/24/2013 - 12:20 | 4086684 Herd Redirectio...
Herd Redirection Committee's picture

"recoup all payments to providers"

I imagine when docs start seeing 3 or 4 of these 'recoup'ings on each bank statement, they will probably lose their minds.

Thu, 10/24/2013 - 12:21 | 4086691 vxpatel
vxpatel's picture

so far none of my friends that are doctors have been impressed by ACA, most in fact are thinking of ways to avoid it...

Thu, 10/24/2013 - 12:58 | 4086730 hedgeless_horseman
hedgeless_horseman's picture

 

 

I imagine when docs start seeing 3 or 4 of these 'recoup'ings on each bank statement, they will probably lose their minds.

 The average practice size is just under two physicians, meaning there are many sole practitioners, many of which have either their their wife or a nurse running the business.

Greater than 90% of physicians offices will never notice the recoupments because they do not post the payments, make the contractual adjustments, collect the patient's amount due under the deductible and co-insurance, or appeal underpayments.  They just deposit the check and spend it.

In fact, providers are essentially prohibited from doing any of the above, by the insurers, because other than Medicare, the insurance companies do not make the contracted fee schedule readily available to the providers.  The contracts ALWAYS come with either a totally blank fee schedule attached as Exhibit A, or "representative listing" of 10 CPT codes, 9 of which are unrelated to the providers practice. 

Don't believe me?  Ask your doctor to tell you what the contracted-allowable fee is that he or she has agreed to accept from your insurer for whatever procedure or visit you are receiving.  This is not the the usual and customary fee that doctors charge, but the amount the insurers are required to pay.  The chances are better than 90% that they will not give you the correct amount, which you will see eventually when you receive the Explanation of Benefits from the insurance company.

Question:  How can the docs know what they are owed if they don't know the contracted price? 

Answer: They cannot. 

Ha ha ha ha! Insurance Companies For The Mother Fucking Win!

 

Short providers, long insurers, long collection agencies.

Thu, 10/24/2013 - 13:10 | 4086958 vxpatel
vxpatel's picture

The $50 office visit, cash only, no tests, just good ole fashion diagnosis based in intuition will come back into vogue. Which is exactly what we need, a return to doctors who remember how to think.

Thu, 10/24/2013 - 13:38 | 4087093 Herd Redirectio...
Herd Redirection Committee's picture

So you are saying the insurers will just withhold money from you?

For eg. you are paid $6000, then the patient is unable to pay their deductible and premiums, then instead of recouping that amount from you, they just net the amount to be recouped against amounts due?

Looks like there will be work for accountants...

Thu, 10/24/2013 - 13:46 | 4087106 hedgeless_horseman
hedgeless_horseman's picture

 

 

...they just net the amount to be recouped against amounts due...

Yes, that is how it is done.

No work for accountants, because CPAs don't understand any of this shit, the facts are too unbelievable and farcical for their brains to accept.

Thu, 10/24/2013 - 14:53 | 4087430 HoofHearted
HoofHearted's picture

I lived in France, and this was exactly the way things were done. We always went wit hthe private doctors not worried about CYA. They were a better quality of doctor. All of them had offices near an ATM. When they got to know us, they were willing to take a check, but typically they ask for cash. They will write you a receipt if you want to claim insurance, but they will not file insurance. We often went t othe American Hospital in Paris. The chief of pediatrics came in one Saturday just to see our son. I think his fee was 55 or 60 euros, and it had to be in cash. He even pointed to the ATM in the lobby if we didn't have the cash on us. He wouldn't take a check or a credit card. I handed him the euro notes and thanked him, wondering why things are so difficult here.

My daughter had to have an MRI after a concussion. We went to the Necker children's hospital in Paris, the top one in all of France. It was late at night when we got done. Thankfully my daughter was ok by then. I asked who I should pay, tha twe were just back visiting, that I needed to pay by credit card, that we were headed back to the States in two days. They said (approximately), "The people who take the money are no longer working for the night." I gave them my address in the US, and I asked, "Will you send the bill?" The receptionist said, "Maybe." The doctor laughed and said, "I don't think so." The bill there was 220 euros. When another daughter had to have the same procedure here in the States, the bill was over $12k. Something has to give...

Thu, 10/24/2013 - 16:26 | 4087870 vxpatel
vxpatel's picture

But we have freedom! and the Frech are socialists! and we have the best healthcare in the world...but, but, but!

Thu, 10/24/2013 - 19:27 | 4088437 MisterMousePotato
MisterMousePotato's picture

Hey, Wise Guy ... America *is* the greatest country in the world:

http://www.youtube.com/watch?v=VMqcLUqYqrs

Thu, 10/24/2013 - 13:55 | 4087153 MachoMan
MachoMan's picture

This is kind of true and only applies to certain practices...

Virtually all contracts with insurance companies, especially for the non-uber-medical facility/hospital group, are adhesion contracts.  The terms of these contracts are completely dictated by the insurance companies.  They typically (virtually always) reference an exhibit which is a fee schedule.  The master fee schedule is hundreds of pages long and, practically speaking, cannot be attached to a contract.  Further, these contracts are confidential so a practitioner of psychology doesn't need to know the reimbursement rate for ankle surgery.

However, THEY ARE REQUIRED TO PROVIDE YOU WITH THE FEE SCHEDULE RELEVANT TO YOUR PRACTICE.  Moreover, it is the practitioner's responsibility to ask for it from his representative.  These rates are subject to change, but the insurance company will typically notify practitioners well in advance of the changes.  Further, in the event you want to terminate the contract, there is typically a short notice duration, e.g. 30 days (unlike a lease that requires you to stay put for years at a time).

I've done this stuff first hand and spoken to many other practitioners and office managers who've done it...

PS, if you think that a solo practitioner has no idea what the reimbursement rate for a particular service is, then you're crazy...  the reimbursement rate is exactly what is used to determine his pricing for services, i.e. there is no point in leaving any money on the table if insurance will pay more for a service [some contracts have language regarding billing insurance the lesser of your stated rate or the insurance company's allowable amount]. 

Thu, 10/24/2013 - 14:12 | 4087183 hedgeless_horseman
hedgeless_horseman's picture

 

 

THEY ARE REQUIRED TO PROVIDE YOU WITH THE FEE SCHEDULE RELEVANT TO YOUR
PRACTICE.  Moreover, it is the practitioner's responsibility to ask for
it from his representative.

True on both accounts.  However, the reality is entirely different.

 

PS, if you think that a solo practitioner has no idea what the
reimbursement rate for a particular service is, then you're crazy... 
the reimbursement rate is exactly what is used to determine his pricing
for services
, i.e. there is no point in leaving any money on the table
if insurance will pay more for a service [some contracts have language
regarding billing insurance the lesser of your stated rate or the
insurance company's allowable amount].

You are ignorant of the facts.  Under Federal Law, providers MUST charge everyone the same fee...what you refer to as pricing.  These usual and customary fees, for most providers, are set well above what the provider believes to be the highest contracted allowable, usually workers comp, in order to not get dinged on the "lesser of billed charges or contracted allowable" term of all contracts.

Nonetheless, it is easy enough to see if I am crazy.  Just run the test I described, above... 

Ask your doctor to tell you what the contracted-allowable fee
is that he or she has agreed to accept from your insurer for whatever
procedure or visit you are receiving.  This is not the the usual and customary fee
that doctors charge, but the amount the insurers are required to pay. 
The chances are better than 90% that they will not give you the correct
amount, which you will see eventually when you receive the Explanation
of Benefits from the insurance company.

Thu, 10/24/2013 - 20:17 | 4088550 MachoMan
MachoMan's picture

So...  doctors use the highest reimbursement rates from insurance companies to determine how much they charge patients, but yet don't know the reimbursement rates...  got it.

Fri, 10/25/2013 - 14:27 | 4090845 hedgeless_horseman
hedgeless_horseman's picture

 

 

Most use 2x or 2.25x the Medicare rate, which they do know, as I described.

Thu, 10/24/2013 - 13:57 | 4087164 Withdrawn Sanction
Withdrawn Sanction's picture

Short providers, long insurers, long collection agencies.

That's the second time I've seen that little nugget of investment "advice," which I assume was tongue in cheek.  Of course, it may in fact work short-run (assuming you can pull the rip cord fast enough), but not long-run.  Screwing providers AND users of healthcare is just bad arithmetic on the insurers/govt's part.  Not quite sure what they think they'll get away with but it's dead end thinking.

Fast forward a few years, after this suppurating pustule called ACA has festered, and doctors are livid about being royally screwed (and their patients are too).  A man, let's call him Barry Soetoro (govt type largely responsible for the mess the ER doctor finds himself in, or at least that's the doctor's informed opinion), shows up for emergency surgery, w/o which Barry will surely perish.  Exactly what is poor old Barry counting on when he's laying there all splayed out on the operating table?  The kindness of strangers?  Good luck w/that.

Thu, 10/24/2013 - 14:40 | 4087380 Mark Urbo
Mark Urbo's picture

Your comments are not reality based. Typical practices have adapted a far more scrutinized business environment as margins have decreased. Their business models are build on reimbursement codes and the processing of such information.  The system/paperwork/filter process is sadly the important priority as opposed to patient interface and care.

Your bias is towards the insurance companies when in reality its the intersection of govt regulations that creates this mess. The key is that under Obamacare (ACA) it will go from barely manageable (in term of our business models) to unmanageable.  The net effect of it being unmanageable is that will implode upon itself (for some of the reasons you suggest) and require a larger step towards a greater govt system (socialist type) at which point the insurance companies will be history as well.  

In the end its not a win for insurance companies, only for govt control of the system.  Ledger games aside, I assure you that the quality of health care will plummet at a unimaginable rate - faster than the current realization on the [non] effectiveness of the ACA enrollment site...

 

 

 

Thu, 10/24/2013 - 15:00 | 4087428 hedgeless_horseman
hedgeless_horseman's picture

 

 

Typical practices have adapted a far more scrutinized business
environment as margins have decreased. Their business models are build
on reimbursement codes and the processing of such information.

Well, if I didn't just have the CEO of one of the largest EHR vendors telling me exactly the opposite, I might believe you...no, I still would know that you are wrong.

Try my simple test from above.  Are you chicken?

Thu, 10/24/2013 - 15:22 | 4087598 Mark Urbo
Mark Urbo's picture

We deal with it all the time - you're wrong on several accounts...

Thu, 10/24/2013 - 15:55 | 4087681 hedgeless_horseman
hedgeless_horseman's picture

 

 

you're wrong on several accounts...

lol

Like what?

Mark, I know what you do for a living, and the fact is neither you, nor anyone there, really knows much about what I am talking about.

If you would do some real analysis, such as the simple test I suggest above, versus just paying some money for an MGMA report, then you would see what is really going on down in the dirt.

Thu, 10/24/2013 - 16:20 | 4087841 Mark Urbo
Mark Urbo's picture

We are in the trenches with practitioners and we see the numbers - its what we base our investments on...

The fact of the matter is that between rising cost of liability insurance and the increasing cost of system (paperwork) processing, the margins are already suspect - considerably lower than just five (5) yrs ago.  That reality drives each business entity to nano manage the process you think (are saying) they don't have a handle on ?  

That's real HH - not an second or third party analysis.  Sorry, but you're insight in most cases is correct - not here.

Thu, 10/24/2013 - 16:41 | 4087880 hedgeless_horseman
hedgeless_horseman's picture

 

 

We are in the trenches with practitioners and we see the numbers - its what we base our investments on

 

From my post, above...

The average practice size is just under two physicians,
meaning there are many sole practitioners, many of which have either
their their wife or a nurse running the business.

Mark, know how your data set relates to the whole.  You are looking only at a very small number of the large to very large providers, mostly facilities and not physicians. Correct?  That group is not representative of the whole, and probably not even statistically significant, but you probably haven't run a power analysis to know that.

I glean data from The Cleveland Clinic and SCA on down to hundreds of one to five physician practices.

Again, where is my insight incorrect, and how am I wrong?

Thu, 10/24/2013 - 16:41 | 4087914 Mark Urbo
Mark Urbo's picture

In what we do, it results in working with an average entity w/ four docs - two is quite common.

HH, they entering survival mode territory. From our perspective, its become less desirable to invest as ROI weakens. Survival mode is not a good environment for new technology cultivation.  

ACA will increase the cost of system (paperwork) processing (that is the game you are alluding to) beyond what is manageable (i.e., "profitable" and that includes LT accts payable).  The discussion has turned to cash-only, liability wavier type franchises, which is a separate subject.  I discuss these issues with numerous practitioners on a weekly basis as they seek solutions or strategies - how many do you talk too ?

Thu, 10/24/2013 - 16:57 | 4087976 hedgeless_horseman
hedgeless_horseman's picture

 

 

an average entity w/ four docs - two is quite common.

That makes it easy.  Don't ask the docs, because they do not know.  Ask their posting staff if their fee schedules loaded in the system are up to date.

You aren't with SVG anymore?

I gotta run, but would still love to know exactly what I have said that you do not agree with.

Peace

Thu, 10/24/2013 - 14:08 | 4087198 SDShack
SDShack's picture

I’ve been saying on other sites since the 0zer0care rollout fiasco, that eventually the dumbcrats will have no choice but to delay the implementation because they have arroused the masses. The reason is simple. Once millions of people get “fined” for not having insurance “mandated” by the Fed. Govt, it will be easy to win class action lawsuits against 0zer0care because the Fed. Govt failed to provide any mechanism for the people to comply with the mandate. The irony will be too much. Lawyers represent the biggest dumbcrat backers, yet it will be these same lawyers that will cause 0zer0care to implode. Many lawsuits were dismissed previously because plaintiffs “lacked standing” because the law hadn’t taken effect, and therefore they couldn’t claim “harm”. All that changes once fines are levied. The same thing will be true for enrollies that think they are covered, get actual care from a doctor or hospital, then find out after the fact that they are not covered because of govt. website snafus. This will be just like predatory mortgage and robo signing of refi’s that blew up in the banks face. I suspect that if the cases reach the SC, even the much hated Roberts will vote this time to do away with 0zer0care.

The only way 0zer0care survives is if the Stupid Party (GOP) caves again and throws 0zer0 a lifeline with bi-partisan “fixes”. I suspect that is exactly what will happen. You will see many more “Kentucky Kickbacks” to get the RINOS to “fix” 0zer0care. The dumbcrats HAVE to delay this now, so they have time to bribe RINOS. It has nothing to do with actually delivering something beneficial to the people. I suspect we will see a “Grand Bargain” between dumbcrats & RINOS when the next Budget/Debt Ceiling fight happens. The Grand Bargain will be spun as bipartisan, and only the evil conservative Tea Party will vote against it. That works to the advantage of both the dumbcrats and RINOS for 2014, as their re-election is all they care about.

Thu, 10/24/2013 - 11:34 | 4086449 CaptainObvious
CaptainObvious's picture

I'm going to start a name badge business for all members of da gubmint and all gubmint contractors.  It will be very easy to mass-produce the badges since they will all bear the same name:  Jim Taggart.

Thu, 10/24/2013 - 11:48 | 4086512 knukles
knukles's picture

What happened to Linda Green?

Thu, 10/24/2013 - 12:14 | 4086647 Agent P
Agent P's picture

She'll sign all the name tags to make them official. 

Thu, 10/24/2013 - 12:15 | 4086653 alangreedspank
alangreedspank's picture

Yup, exactly their kind of botched one size fits all solution.

Thu, 10/24/2013 - 11:36 | 4086458 RSloane
RSloane's picture

I thought the Dems were selling Obamacare as a huge success because it failed so dramatically, meaning so many people were trying to sign up for it the system  crashed. What happened to that bit of propaganda?

Thu, 10/24/2013 - 11:51 | 4086525 knukles
knukles's picture

The peasantry, somewhat acquainted with computers and such in the Modern Age, saw through the charade rather quickly.
On the other hand, the dumb fucks who tried to sell that message drastically underestimated the peasantry.
Which leads one to a few interesting conclusions as to the general competency of the dumb fucks who perpetrated the message in the first place.

Which is the lesson to be understood.

De-fund the entire fucker, repeal the law and give everybody a fucking Medicare Card and be done with it.

Thu, 10/24/2013 - 12:32 | 4086756 Hedgetard55
Hedgetard55's picture

Just like they sold Benghazi as a YouTube related spontaneous demonstration?

Thu, 10/24/2013 - 17:28 | 4088068 Quantum Nucleonics
Quantum Nucleonics's picture

Most of the people "signing up" are actually filing for Medicad benefits, not buying insurance policies on the "exchanges".  Varies by state, but it's on the order of 90%.

Thu, 10/24/2013 - 11:39 | 4086466 Rainman
Rainman's picture

This is your country. THIS IS YOUR COUNTRY ON OBLAMEO !!

Thu, 10/24/2013 - 11:40 | 4086474 HamRove
HamRove's picture

Yeah, but that would be considered racist....don't know why. Just is.

Thu, 10/24/2013 - 12:33 | 4086776 SkottFree
SkottFree's picture

"CGI also said its system passed eight technical reviews before going live"

We go through 30-40 reviews the first year on anything designed here! So as you can tell by their statement that another Billion or 2 could have adverted the problem! So I guess if we can not sue over anything to do with Obamacare the government can not sue for any CGI did because it must be the governments problem!

Well if CGI goes belly up in the next few months the execs can all walk away with ten's of millions in bonus money bitches!

Thu, 10/24/2013 - 12:40 | 4086804 somecallmetimmah
somecallmetimmah's picture

Rasis.

Thu, 10/24/2013 - 12:51 | 4086854 dontgoforit
dontgoforit's picture

We've left the 'me' generation to the 'it's your fault' generation.

Thu, 10/24/2013 - 11:22 | 4086384 Zer0head
Zer0head's picture

Did you fly here on a private jet?

Thu, 10/24/2013 - 11:24 | 4086397 yogibear
yogibear's picture

The liberals keep saying it's Bush's fault. Obama is still their god-like icon. 

Obama is the mainstream media's god.

Thu, 10/24/2013 - 11:54 | 4086548 Ignatius
Ignatius's picture

Obama is not what MLK was dreaming about.

Thu, 10/24/2013 - 12:17 | 4086669 alangreedspank
alangreedspank's picture

MLK was dreaming, O' is droning.

Thu, 10/24/2013 - 11:27 | 4086418 James-Morrison
James-Morrison's picture

We'll have to test that software to see what's in it.

Thu, 10/24/2013 - 11:30 | 4086431 HelluvaEngineer
HelluvaEngineer's picture

Speaking as someone in this industry, they will not be able to fix the website.  They will need to do a total rewrite, and get another firm to do it.  They likely don't know this, and the current solutions provider(s) are most likely lying to them.  The administration will fall for it, since they will want to believe that it can be fixed, but I'd be amazed if this thing is functional a year from now.  You simply can't throw people at a problem like this.   It requires real leadership.

Thu, 10/24/2013 - 11:40 | 4086477 explodinghead
explodinghead's picture

Speaking as another person in the industry.  640 Million for a web site..lol..Holy Shit give me a contract like that.

Thu, 10/24/2013 - 11:44 | 4086492 CaptainObvious
CaptainObvious's picture

You wouldn't be able to do it, because you would have to trade your soul, integrity, and beliefs for that 640 million.

Thu, 10/24/2013 - 12:02 | 4086582 aardvarkk
aardvarkk's picture

Yes, but aside from that just give Obama a couple million and you're in like Flynn.  Getting these contracts is not rocket science...just give the right politician money and they'll blow you if that's what it takes.  Personally, to me it's just not worth an eternity in hell.

Thu, 10/24/2013 - 12:22 | 4086695 alangreedspank
alangreedspank's picture

Not really. It's the other way around, it's because they traded their integrity and beliefs that the deliverables sucked that much.

Thu, 10/24/2013 - 13:28 | 4087052 LetsGetPhysical
LetsGetPhysical's picture

Would love to know if those "website contractors" were also campaign donation bundlers. This has got a whiff of Solyndra to it.

Thu, 10/24/2013 - 11:51 | 4086523 NotApplicable
NotApplicable's picture

Speaking as someone else in the industry... "It worked fine on my machine!"

They likely never expected anyone to actually use it.

Thu, 10/24/2013 - 11:51 | 4086530 Payable on Death
Payable on Death's picture

Hmmm. I'm not in the industry, but I figured the website is ultimately irrelevant. It will evenutally be fixed or worked around with delays--whatever. The program must and will go on. The bureacracy and elected liberals-mods-RINOs will NEVER, EVER retreat.

Thu, 10/24/2013 - 12:11 | 4086634 csmith
csmith's picture

"...they will not be able to fix the website."

 

2014 midterms...tic...tic...tic...tic...

Thu, 10/24/2013 - 12:19 | 4086674 Bastiat
Bastiat's picture

"It requires real leadership."

 

Your talking about something beyond the scope or conception of a community organizer bullshit artist?

Thu, 10/24/2013 - 13:28 | 4086951 Everybodys All ...
Everybodys All American's picture

I said the same thing several days ago. However, the major flaw is the law itself and imo the whole thing needs to be repealed. It's simply more statist thinking and will never be good for this country if fully implemented. As a former software guy myself I agree that the entirety would need to be rewritten and redesigned and the government will never admit to this until it's way too late. It serves these people that this is becoming an epic clusterfuck.

Thu, 10/24/2013 - 13:24 | 4087032 Max Cynical
Max Cynical's picture

Prediction...they'll spend another billion dollars to fix it before they'll scrap it. 

Thu, 10/24/2013 - 14:49 | 4087418 Mark Urbo
Mark Urbo's picture

Exactly - restart.  As we used to say in white board discussions - "nine women can't have a baby in one month".  It would seem direction and leadership were missing from the beginning. 

Thu, 10/24/2013 - 12:19 | 4086676 alangreedspank
alangreedspank's picture

The more exact analogy would be "We'll have to deploy that software to production to see what's in it."

Thu, 10/24/2013 - 11:38 | 4086464 Oliver Jones
Oliver Jones's picture

I blame the read error on floppy disk 31. :)

Thu, 10/24/2013 - 12:15 | 4086652 TideFighter
TideFighter's picture

Obama's mamma, the campus whore. It's her fault.

Thu, 10/24/2013 - 12:29 | 4086739 somecallmetimmah
somecallmetimmah's picture

"Just Bush's fault"...that Obama was elected, and his fait accompli, O'stumblecare.

Well, you did vote for it, didn't you?

Thu, 10/24/2013 - 12:29 | 4086748 Truthseeker2
Truthseeker2's picture

 

Might this may be the reason things are so out of control with Obamacare and DC!

Everything is SOOOO out of control!

http://cosmicconvergence.org/?p=4877

The Final Shift Fast Approaches

 

Thu, 10/24/2013 - 12:41 | 4086808 Trimmed Hedge
Trimmed Hedge's picture

Why can I only see the 1st three comments? :(

Thu, 10/24/2013 - 13:54 | 4087148 Herd Redirectio...
Herd Redirection Committee's picture

IE?

Thu, 10/24/2013 - 12:50 | 4086848 Moe Hamhead
Moe Hamhead's picture

"The dog ate my homework !" excuse.

Thu, 10/24/2013 - 21:54 | 4088811 StychoKiller
StychoKiller's picture

In the life of a project, we're currently in the "Search for the Guilty" phase.

Thu, 10/24/2013 - 16:44 | 4087911 Yancey Ward
Yancey Ward's picture

0

Thu, 10/24/2013 - 16:40 | 4087912 Yancey Ward
Yancey Ward's picture

It's my fault.  I ran over a squirrel on the evening of September 30th, and that squirrel was a key player in keeping the website running.

Thu, 10/24/2013 - 23:09 | 4089026 Chuck Walla
Chuck Walla's picture

Campbell appears to be the EEO hire to appease Obama.

FORWARD SOVIET STYLE CARE!

Thu, 10/24/2013 - 11:20 | 4086380 alphamentalist
alphamentalist's picture

I didn't build that!

Thu, 10/24/2013 - 11:24 | 4086398 tradebot
tradebot's picture

You beat me to it!

Thu, 10/24/2013 - 11:53 | 4086539 knukles
knukles's picture

"You didn't build that yourself."
The gubamint helped you every step of the way!

Aaaaarrraggghhh!


munmling, getting ready to throw shit

Thu, 10/24/2013 - 11:46 | 4086501 Jumbotron
Jumbotron's picture

JEEZUS !!!!

NOBODY......and I mean NOBODY EVERS GROWS UP ANY MORE IN THIS FUCKED UP COUNTRY.  WHEN DID THAT HAPPEN? !!!

There was a time when people aged and mentally matured from Kindergarten on.....

Now EVERY FUCKING BODY IS A KINDERGARTENER......"NOT ME....IT WAS HIM.......UH, UHHHHHHH......IT WAS HER !!   WAS NOT !  WAS TOO !!   WAS NOT !!  WAS TOO !!!!

GOD HAVE MERCY......I AM FUCKING SICK OF IT!!!!!

COULD ANYBODY PLEASE FOR FUCK SAKE OWN SOMETHING ????   OTHER THAN THE FED !!!!!    ARRRRRRRRRRRRRRGHHHHHHHH  !!!!!!!!!

Thu, 10/24/2013 - 11:54 | 4086547 knukles
knukles's picture

I'm with you, Jumbo

Just think of the cerdibility problem festering out there right now.
We are not the only audience....

Thu, 10/24/2013 - 12:31 | 4086753 NemoDeNovo
NemoDeNovo's picture

LOL Credibility, we lost that a Loooonng time ago, most are just realizing that now, all we can do is be patient for what comes next....

Thu, 10/24/2013 - 23:12 | 4089033 Chuck Walla
Chuck Walla's picture

Just think of the cerdibility problem festering out there right now.
We are not the only audience....

Now, if only the other 51% could figure it out, something might change...

 

FORWARD SOVIET SHOW TRIALS!

Thu, 10/24/2013 - 12:24 | 4086700 alphamentalist
alphamentalist's picture

amen. we live in a day of zero personal responsibility for the many and politically orchestrated shifting of consequence to the few (most whom are not born yet). it is tiresome. 

Thu, 10/24/2013 - 11:23 | 4086387 Tinky
Thu, 10/24/2013 - 11:24 | 4086392 RaceToTheBottom
RaceToTheBottom's picture

Our stuff worked just fine, just look at all the dollars we charged you for.....

Thu, 10/24/2013 - 12:23 | 4086698 Herd Redirectio...
Herd Redirection Committee's picture

Thats how you know something's good, it cost A LOT of money!

Thu, 10/24/2013 - 23:13 | 4089040 Chuck Walla
Chuck Walla's picture

Thats how you know something's good, it cost A LOT of money!

Then our politicians must be the best...

FORWARD SOVIET DACHAS!

Thu, 10/24/2013 - 11:24 | 4086393 Zer0head
Zer0head's picture

she just said do you mean like homeland security

 

in answer to the question of how many organizational boundries information must cross

Thu, 10/24/2013 - 11:53 | 4086538 NotApplicable
NotApplicable's picture

I hear they're gonna start doing colonoscopies at VIPER checkpoints.

You know, just to be sure.

Thu, 10/24/2013 - 11:27 | 4086394 NoDebt
NoDebt's picture

Well, It certainly can't be Obama's fault.  That much we know.  He just heard about the problems on the news a few days ago, same as the rest of us.  And boy is he mad.

Where have I heard this line before?  Sounds familiar.

Thu, 10/24/2013 - 11:34 | 4086445 HelluvaEngineer
HelluvaEngineer's picture

The idiot thinks leadership means having a "vision".  So, all he needs to do is come up with the concept, then throw money and people at it.  That simply doesn't work and will never work.  The best thing they could do now is fake out the website and send forms to a data entry center in India that will handle all the work manually.

Thu, 10/24/2013 - 11:45 | 4086498 Henry Chinaski
Henry Chinaski's picture

And the masses go along with it because nobody wants to pay for their own medical care. It doesn't help that nobody seems to recognized that that health insurance is not health care. 

Thu, 10/24/2013 - 11:50 | 4086518 LFMayor
LFMayor's picture

Work is as easy as talking about it, man.  
1) conceptualize
2) discuss/build consensus
3)?????
4)profits!  $$$$ !!!!

I work at a fortune 50 insurance company in IT.  The fucking virus has gone micro as well as the macro, boys. It's everywhere.

We are so fucked.  The squat body, blue cotton button up severe haircut lesbians aint gonna pull no 11th hour save on this one.

Embrace the crash, cleanse and rebuild.

Thu, 10/24/2013 - 11:58 | 4086560 NotApplicable
NotApplicable's picture

They likely had lots and lots of meetings that gave the appearance that sitting in a conference room is equivalent to actually working. Oh, and those meetings likely were all political, so the technical people were either not invited, or totally ignored, as they are soooooo negative, as they aren't very good "team players."

As long as they can find someone else to blame though, they are safe for the time being.

Thu, 10/24/2013 - 14:07 | 4087195 Withdrawn Sanction
Withdrawn Sanction's picture

Well said, N/A.  Been in more than a few of those mtgs myself...where people confuse motion w/action.

Thu, 10/24/2013 - 12:13 | 4086614 Meat Hammer
Meat Hammer's picture

@Helluva, I see the same thing in my company, as I'm sure many of us do.  Our execs come up with some grandiose idea and then blame the little people when it fails.  The whole time we're thinking - your vision was fine.....it was your lack of leadership, communication of step-by-step action plans, and minimal follow through that made the thing fall on its ass.  

It's the same thing with these idealogues.  All they've done their whole lives is act as bullshit artists with no practical real-world experience.  They're all being exposed for the worhtless pieces of shit that they are.  

Thu, 10/24/2013 - 13:56 | 4087157 NoDebt
NoDebt's picture

"Low-level employees"

 

Thu, 10/24/2013 - 21:58 | 4088819 StychoKiller
StychoKiller's picture

"Nobody plans to fail, they simply fail to plan!" -- Jim Duca , Ampex Switcher Co. President

Thu, 10/24/2013 - 11:56 | 4086552 CaptainObvious
CaptainObvious's picture

Hmm, let me think.  Oh yeah!  He said this in response to the IRS targeting.  And the motive for the Benghazi attack.  And the NSA spying "phony scandal".  Somebody needs to hire a new screenwriter.  His current one is just recycling punch lines from last season's scripts.

On a related topic, do gubmint workers not know that a circular firing squad pretty much guarantees the death of every soldier?  No?  Okay, let's keep that secret, then,

Thu, 10/24/2013 - 11:23 | 4086395 g'kar
g'kar's picture

The Sgt. Shultz defense, "I see notheeng, I know nutheeng".

Fri, 10/25/2013 - 00:57 | 4089233 Colonel Klink
Colonel Klink's picture

That's because I told him to say it. -mgmt

Thu, 10/24/2013 - 11:24 | 4086402 Seize Mars
Seize Mars's picture

Lies.
They're doing this on purpose. Don't ever forget: the true Marxist is interested in murder and destruction. They are not interested in " building" anything. They are interested in the de-evolution of society. There is plenty of data to support my claim.

Thu, 10/24/2013 - 11:38 | 4086463 yogibear
yogibear's picture

"They are interested in the de-evolution of society."

And the degeneration of people. So far their plan is working.

Take away the guns.

When the moment is right they will make it obvious to all. At that point people will be unable to do anything.

Thu, 10/24/2013 - 11:24 | 4086405 Dr. Engali
Dr. Engali's picture

Zero assured us over and over that it's a good product, and his word is as good as his name so I'll be patient and wait.

Thu, 10/24/2013 - 11:28 | 4086420 DaddyO
Thu, 10/24/2013 - 12:28 | 4086727 Herd Redirectio...
Herd Redirection Committee's picture

Credibility.  Trust.  Things that once lost, are not so easily regained.

I'm looking at you, USD.  And you, Obama.   And you Wall St.  And you DC.

Thu, 10/24/2013 - 11:30 | 4086432 NoDebt
NoDebt's picture

Me, too.  All these childish, impatient people wanting things to happen right away.  Can't they see how important this is to the nation?  It is our duty as American citizens to be as supportive of this monumental process as we can be.  We need to have some patience and act like responsible adults if we want this nation to reap the many rewards that will come from Obamacare, once it's fixed, of course.

Signed,

MDB

Thu, 10/24/2013 - 11:25 | 4086407 tradebot
tradebot's picture

Monkeys are running the zoo

Thu, 10/24/2013 - 11:28 | 4086422 Ms. Erable
Ms. Erable's picture

And, apparently, writing code.

Thu, 10/24/2013 - 11:30 | 4086429 g'kar
g'kar's picture

 SpryMedia didn't write that code.

Thu, 10/24/2013 - 11:42 | 4086487 ceilidh_trail
ceilidh_trail's picture

dat b rayciss!

Thu, 10/24/2013 - 11:59 | 4086564 knukles
knukles's picture

dat be da Troof...

bout de monkees and de rayzizz

so fucking be it.

 

Like the MSNBC and uber-liberals now referring to the Tea Party with Burning Crosses and 3 Kings dealt in a hand...
All KKK references.

Jesus H Fucking Christ!

Stop it already.

I've got some ideas about the first to be placed in the Eugenics Compounds

Aaaaarrragh!

Thu, 10/24/2013 - 12:17 | 4086665 Meat Hammer
Meat Hammer's picture

knuckles, I actually LOOOOOOVE seeing that from the uber-libs.  The stronger the hyperbole, the more afraid they are.  

The people who believe it are brain-dead Obama zombies anyway.  The people who know it's extreme hyperbole don't watch MSNBC.

Thu, 10/24/2013 - 11:26 | 4086410 carbonmutant
carbonmutant's picture

Somewhere between the chair and the keyboard...

Thu, 10/24/2013 - 22:00 | 4088826 StychoKiller
StychoKiller's picture

Check the ID-10-T connector...

Thu, 10/24/2013 - 11:26 | 4086411 Seasmoke
Seasmoke's picture

Clearly it's Syria's fault. 

Thu, 10/24/2013 - 12:36 | 4086771 Emergency Ward
Emergency Ward's picture

I think it's KONY 2012's fault.

BTW, does Obama still have his private assassination squads chasing Kony all over Africa?  There's another news item that has faded into oblivion.

Thu, 10/24/2013 - 11:27 | 4086416 LFMayor
LFMayor's picture

I din' do NUTHIN!

Now where have I heard that before... ?

Thu, 10/24/2013 - 11:28 | 4086424 Bay of Pigs
Bay of Pigs's picture

Why didn't they get Maxine Waters to head this program?

Thu, 10/24/2013 - 11:35 | 4086456 jcaz
jcaz's picture

...Because she's waaaaay too bright for this deal.....

Plus she's still busy trying to figure out what a debit is......

Thu, 10/24/2013 - 12:31 | 4086754 Emergency Ward
Emergency Ward's picture

Her mini-bankster husband has that all figured out.....

Thu, 10/24/2013 - 11:46 | 4086507 Yes We Can. But...
Yes We Can. But Lets Not.'s picture

she doesn't like to work.

Thu, 10/24/2013 - 12:24 | 4086694 Meat Hammer
Meat Hammer's picture

Because she's black and statist liberals are racists.

 

I had to include statist so Greatbeard doesn't yell at me.

Thu, 10/24/2013 - 11:32 | 4086426 ipud
ipud's picture

Whoa - that panel has some radio faces on it. Don't adjust your television set!

Thu, 10/24/2013 - 11:30 | 4086427 ultraticum
ultraticum's picture

That's funny.  United Health Group was/is in on the actual coding of this cluster.  Cue Hedgeless Horseman for the visual-explanation of O'extortion-care in 5, 4, 3 , 2, . . . .

Thu, 10/24/2013 - 11:59 | 4086568 NotApplicable
NotApplicable's picture

I was wondering where the kickbacks were flowing this time around.

Thu, 10/24/2013 - 11:30 | 4086430 22winmag
22winmag's picture

I've run out of polish and elbow grease for the brass on the Titanic. Can anyone lend a hand?

Thu, 10/24/2013 - 11:45 | 4086502 CaptainObvious
CaptainObvious's picture

Sorry, all out of polish, elbow grease, and hands.  I can let you have some Brawndo, though.  It's got electrolytes!

Thu, 10/24/2013 - 11:57 | 4086556 pods
pods's picture

I can't help, if I put down this violin the passengers might be troubled.

pods

Thu, 10/24/2013 - 12:00 | 4086573 knukles
knukles's picture

Parable Insight of the Month
Kudos

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