You know, one of the lessons -- learned from this whole process on the website -- is that probably the biggest gap between the private sector and the federal government is when it comes to I.T. ...That is, many have pointed out that his campaign website was really good, so why didn't that mean that he'd be good at setting up a health insurance website? The answer is that the government is bad because the government is hampered by... government!
Well, the reason is is that when it comes to my campaign, I'm not constrained by a bunch of federal procurement rules, right?
And how we write -- specifications and -- and how the -- the whole things gets built out. So part of what I'm gonna be looking at is how do we across the board, across the federal government, leap into the 21st century.I love the combination of: 1. Barely able to articulate what the hell happens inside these computer systems, and 2. Wanting to leap!
Because when it comes to medical records for veterans, it's still done in paper. Medicaid is still largely done on paper.This should have made him sympathetic to the way government burdens private enterprise, but he's focused on liberating government to take over more of what has been done privately. And yet there's no plan, no idea about what would suddenly enable government to displace private businesses competing to offer a product people want to buy.
When we buy I.T. services generally, it is so bureaucratic and so cumbersome that a whole bunch of it doesn't work or it ends up being way over cost.
Instead, we've been told we must buy a product, and things have been set up so we can only go through the government's market (the "exchange"), and the government has already demonstrated that its market doesn't work. But you can't walk away, you're forced to buy, and there's nowhere else to go. And yet, he wants us to feel bad about the cumbersome bureaucracy the government encountered trying to procure the wherewithal to set up the market it had already decided we would all need to use.
It's like a medieval torturer complaining to his victim about how difficult it is to use pilliwinks while the thumbscrews are on backorder.
And yeah, in some ways, I should have anticipated that just because this was important and I was saying this was my top priority. And I was meeting with folks once a month telling 'em, "Make sure this works."He was meeting with his "folks" once a month. He was tellin' 'em "Make sure this works." Why didn't that work, that tellin' 'em? The tellin'-the-folks method. He is the President. I think it looked like this:
Why didn't that work? Who knew?!
There are gonna be some lessons learned....Yeah, he had to learn that you can't just say This is important, I care — Obamacare — and so let it be done. Make sure this works.