tag:blogger.com,1999:blog-6559710283964047904.post2785165249099507749..comments2024-03-29T04:31:38.306-07:00Comments on Learning from experience_Larry hirschhorn: The early failure of HealthCare.gov and the psychology of a crusadelarry hirschhornhttp://www.blogger.com/profile/03225178328441480792noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-6559710283964047904.post-57339010861551094202014-05-27T01:25:18.658-07:002014-05-27T01:25:18.658-07:00Thanking your for providing such a nice informatio...Thanking your for providing such a nice information<br /><a href="http://www.amperesoftware.com/Healthcaresoftwaredevelopment.html" rel="nofollow">healthcare software development</a><br />Anonymoushttps://www.blogger.com/profile/09840033098665262372noreply@blogger.comtag:blogger.com,1999:blog-6559710283964047904.post-48884602460993938442014-02-10T22:13:32.138-08:002014-02-10T22:13:32.138-08:00Took me time to read all the comments, but I reall...Took me time to read all the comments, but I really enjoyed the article. It proved to be Very helpful to me and I am sure to all the commentates here! It’s always nice when you can not only be informed, but also entertained!<br /><a href="http://www.globalpayerresource.com/services.html" rel="nofollow">Enrolment</a>Anonymoushttps://www.blogger.com/profile/04490611312342203401noreply@blogger.comtag:blogger.com,1999:blog-6559710283964047904.post-83549150261512963222014-01-05T22:05:04.086-08:002014-01-05T22:05:04.086-08:00I can hardly find words to express how thankful I ...I can hardly find words to express how thankful I am for posting this information! very useful!!!!!<br /><br /><a href="http://www.skysoftinc.com/" rel="nofollow">medical software Development</a><br />Anonymoushttps://www.blogger.com/profile/07831248184553799523noreply@blogger.comtag:blogger.com,1999:blog-6559710283964047904.post-25190447007480698732013-11-20T06:43:32.577-08:002013-11-20T06:43:32.577-08:00Jim your reference to Basic Assumption Life points...Jim your reference to Basic Assumption Life points to an additional dimension of this case. We could say that the primary anxiety facing the administration was based on the fear that the consumers/voters would reject the health car law even after its passage. If true then we could look upon the crusader as a social defense against this anxiety. It would have functioned a protective myth assuring the administration that even if the face of hatred for the law they were on the right course. larry hirschhornhttps://www.blogger.com/profile/03225178328441480792noreply@blogger.comtag:blogger.com,1999:blog-6559710283964047904.post-92056706495077324842013-11-19T07:54:36.425-08:002013-11-19T07:54:36.425-08:00Larry,
There are two kinds of subsidization in...Larry,<br /><br /> There are two kinds of subsidization in the ACA; the subsidy according to health, which is the one you refer to, and the subsidy according to income, whose principle has nothing to do with the first, although the two may be related as an empirical matter.<br /><br /> As far as the legitimacy of the first kind is concerned, I think your arguments make sense in the abstract, but abstractions about the proper role of government depend on assumptions about the powers of government that are codified in the law. When a government no longer feels bound by the law, those abstractions no longer apply. The Republican position has always been that this law puts too much power in the hands of government. Those skeptical considerations have up until now also been based on abstractions, but then the present government showed up and revealed their meaning.<br /><br /> How can anyone not be concerned at the fact that thousands of "navigators" have been hired, without even checks on their criminal background, from "community organizations" and, with very little training given access to our most vital information? This from the same government that set the IRS to deep-six the tax exemption applications of conservative groups before the election. It seems to me that we are beyond the range where abstract considerations have much application. We are not, as the saying goes, in Kansas anymore.<br /><br /> Regarding the Republican approach to health care, in fact they did have programs, based on the principle of amending the structure we have had. Unfortunately, these were not taken seriously by the press, which, in place of serious commentary, published cartoons of the Republicans pushing granny, in her wheelchair, over a cliff. <br /><br /> The Republican proposals, as I understand them, were based on two sets of considerations. One was Hayekian economics, the other was a concern for the dangers of concentration of power in government, which I referred to above. I'm not sure I see either of these as indicators of moral underdevelopment. It is not as if the moral superiority of economic and political centralization can be taken for granted. Sad to say, this only becomes truly apparent after these powers have already been hijacked.<br /><br />Howie<br />Howardhttps://www.blogger.com/profile/18153011044232268437noreply@blogger.comtag:blogger.com,1999:blog-6559710283964047904.post-78169130080104802662013-11-18T20:49:14.367-08:002013-11-18T20:49:14.367-08:00Great blog, Larry. I've been absolutely bewil...Great blog, Larry. I've been absolutely bewildered by the extraordinary incompetence of this whole thing. If there ever was an illustration of Basic Assumption Life on a large scale, this is it. Some of your ideas about the underlying fantasy situation - and the unbelievably bad decision making that resulted, make a lot of sense to me. Anonymoushttps://www.blogger.com/profile/02757339414266432059noreply@blogger.comtag:blogger.com,1999:blog-6559710283964047904.post-936849362897017032013-11-18T19:27:24.440-08:002013-11-18T19:27:24.440-08:00Howie, thank you for your reflections. If I unders...Howie, thank you for your reflections. If I understand the mechanics of insurance correctly, a major source of redistribution is from the healthy to the sick. But this is known as community rating and has been used forever when large employers buy insurance on behalf of their employees. There is a moral idea here worth upholding, that illness can strike any of us, so as a matter of solidarity we should help one another recover from illness. The problem with the Republicans has been that they have provided few if any alternatives, in part because I think their moral vision concerning health care is underdeveloped. The moral idea that the government should not stand between the patient and the provider is not compelling, at least for me, because today so much institutional structure, for example hospitals, regulations to secure patient safety, and insurance companies already stands between the two. Health care is a deeply regulated industry as is. So the legitimate question is, what kind of regulations? larry hirschhornhttps://www.blogger.com/profile/03225178328441480792noreply@blogger.comtag:blogger.com,1999:blog-6559710283964047904.post-65222698121841256722013-11-18T12:30:15.336-08:002013-11-18T12:30:15.336-08:00Larry,
I like this very much, but I think you ...Larry,<br /><br /> I like this very much, but I think you should follow your crusade analogy just a bit farther. The Crusades not only encountered opposition from the Muslim infidels, they were wars against those infidels, seen as forces of evil. It might be useful to consider the ACA, by analogy, as a war against the evil Republicans. <br /><br />That may not be as far-fetched as it sounds. For one thing, a massive social and economic transformation of this sort necessarily shifts the concentration of power. In that sense, the program may be considered a drive for increased power. And at whose expense would this increase be gained, if not those evil Republicans? <br /><br />For another thing, it seems to me that many, if not most, of the Democrats see the Republicans as the party, if not exactly of top-hatted plutocrats, then certainly of the rich, who are seen as having gained their wealth at the expense of the poor. In that sense, the subsidies for the poor and lower middle class that were supposed to make health insurance affordable for them, and which would have to be paid by those who were charged full price, could be seen as a program of wealth redistribution, with all the implications that has for the distribution of power. <br /><br />If the ACA were conceived as a war against evil Republicans, that would help to explain why the Republicans were frozen out of the process; an exclusion we can now understand as really, really dumb, if not fatal. It might also help to explain why the Republicans, as you rightly note, hated the ACA. <br /><br />Of course, the people hated it, too. I'll refrain from pursuing the analogy of the Crusades in that direction.<br /><br />Howie<br />Howardhttps://www.blogger.com/profile/18153011044232268437noreply@blogger.comtag:blogger.com,1999:blog-6559710283964047904.post-75468465194520087002013-11-18T11:20:15.259-08:002013-11-18T11:20:15.259-08:00As a former US Government contractor I can testify...As a former US Government contractor I can testify that contractual requirements on bidding and cost are virtually independent of policy. That the ACA was a sausage ground out by the Senate (Baucus, et al) reflects the White House hands off based on the travesty of HillaryCare. A single payer system -- expansion of Medicare, say -- was the most logical way to go, but would have been dead on arrival. Perhaps the roll out of the program could have been delayed, but in the micro-climate of Washington politics and reportage, that might also have proved fatal.<br /><br />norbertAnonymousnoreply@blogger.com