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93 Days Till Obamacare. Are the Feds Ready?

There are few pieces of legislation that have worked their way into law with as many unknowns attached to them as the Patient Protection and Affordable Care Act. Also known as Obamacare, the PPACA is set to reform the entire health care system as we know it.

Source: White House on Flickr.

By mandating that individuals carry health insurance and requiring health-benefits providers to spend at least 80% of collected premiums on patient care while turning no one with preexisting conditions away, it's the hope of President Obama that quality of care and consumer access to health care will improve while premium costs fall. It's certainly a daring and revolutionary bill, filled with plenty of promise, and quite a few potential pitfalls.

However, the PPACA itself isn't set to go into full effect for another six months. In the interim there are far more pressing issues the administration has to deal with prior to its implementation. Namely, the technological implementation of the state- and government-run health exchanges and the educational aspect of getting the American public ready to purchase health insurance through new mediums. Both factors loom large with 50 state health exchanges needing to be ready by Oct. 1, just 93 days from today.

Technology is going to be a big hurdle
It's often forgotten as a crucial component to Obamacare, but the technology behind the state-run exchanges promises to be some of the most complex we've ever seen.

To begin with, the IT-interface isn't simply transferring information between point A and point B. There are actually a number of variables that need to be taken into account, such as whether a citizen, based on his or her income, would qualify for some sort of health insurance subsidy. In order for this to happen, a string of events needs to occur, including the verification of income from the Social Security department, eligibility rules from Medicaid, possible tax credits from the IRS, referrals from state agencies, and potential subsidies from the U.S. Treasury. One system has to be able to link all of these agencies simultaneously -- and not only do that, but get it done and be fully operational within the next 93 days! 

It'd be a daunting task if all 50 states chose to set up their own exchanges using federal funds and if the contracted companies had years to do it in. Unfortunately, that hasn't been the case. Only 16 states chose to set up their own state-run exchanges. This means, in addition to overseeing the development of the infrastructure which will streamline the purchasing of individual health insurance, the government must also oversee the implementation of 34 state health exchanges on its own.

According to the Government Accountability Office, $394 million has been spent by the Centers for Medicare and Medicaid Services since the PPACA was passed in 2010 through March 31, 2013, in prepping for the Oct. 1, 2013, launch. Thus far, there have been numerous delays, but, according to the GAO, nothing that would put the exchange launch date off its target. Reviewing the GAO's contractor report, there are some key players responsible for developing this highly integrated cloud-based health information system for the government. 

Perhaps no name stands out more in this process than Quality Software Systems, which was awarded a $55 million contract in 2011 to develop the federal data services hub that'll be responsible for certifying health plans being offered and ensuring they remain within compliance. The interesting thing worth noting here is that UnitedHealth Group (NYSE: UNH  ) subsidiary Optum actually purchased Quality Software Systems in 2012. This means a subsidiary of the largest health insurer in the country is helping develop the software that'll house health-benefits data.

Another beneficiary has been advisory firms like Booz Allen Hamilton (NYSE: BAH  ) which, based on the GAO's release, had been granted close to $38 million in contracts for consulting and technical advisory services as of March. Helping out the technical teams with everything from oversight and eligibility to the actual support and integration of all of this technology, Booz Allen Hamilton's reputation has a lot riding on a successful launch. 

Staffing and education won't be forgotten
Although the technical side of the exchanges is one part of the puzzle, hiring and training an adequate number of staff to help with the October  rollout in each state, and educating the public about their options, is an entirely different, and difficult, ballgame.  

One of the bigger question marks relates to staff training. The GAO recently noted that the original plan for state-run exchanges was to have two grants, one in July and one in September, to help train the staff that will be at the front lines of helping people select their health insurance. The CMS, however, fell two months behind on these grants, and now there will be just one, in August.

The other key component that goes along with training the staff behind the technology is actually getting the word out to the public. You might think that Obamacare has been publicized enough since 2010 that everyone would have at least a rough outline of how the health care landscape will change next year, but that couldn't be further from the truth.

In March, a Kaiser Health Tracking Poll discovered that 48% of respondents reported hearing nothing at all with regard to whether their state was setting up a health exchange. Even more frightening, a poll by Kaiser Health released in early May showed that 42% of respondents were unaware that the PPACA was the law of the land. Furthermore, nearly one-quarter had no clue what the status of the bill was.

On top of being a concern for the government, staffing and education are a big concern for our nation's largest insurers, which have angled their growth toward adding on the roughly 16 million low-income earners who will now qualify for Medicaid. WellPoint (NYSE: ANTM  ) purchased Amerigroup for $4.5 billion, CIGNA (NYSE: CI  ) ponied up $3.8 billion for Healthspring, and Aetna (NYSE: AET  ) is buying Coventry Health Care for $5.7 billion, all with the purpose of locking up Medicaid-based members and the government money that comes along with them. If the education side of Obamacare fails to reach these currently uninsured individuals who could qualify for this subsidized health care, these three companies are going to be negatively affected.

Is the Fed ready?
The GAO has noted multiple delays in the technical and staffing aspects leading up to Oct. 1., but as of now the project remains on course. As for me, I would use history as a reference point in determining whether the Fed is ready.

For example, in 2003 the Medicaid Modernization Act was passed into law, however, it wasn't fully implemented until 2006 as Kaiser Health News notes. In the three years leading up to its implementation, numerous IT systems checks were run and work from a technological aspect continued all the way up to, and even after, its implementation. The initial rollout, though, was marked by numerous glitches that were eventually ironed out over time.

It's quite possible that consumers and insurers alike could be in for a rough couple of months as the trial-and-error phase sets in. Overall, I do suspect the government will meet its deadline, but would be surprised to see everything go off without a hitch.

Still in the dark about how Obamacare might affect you and your portfolio? Don't worry -- you're not alone. To help prepare investors for the massive changes coming to the American health care system, The Motley Fool created a special free report that makes this complex topic easily understandable. Download "Everything You Need to Know About Obamacare" and discover how the law may impact your taxes, health insurance, and investments. Click here for your free copy today.

Read/Post Comments (30) | Recommend This Article (9)

Comments from our Foolish Readers

Help us keep this a respectfully Foolish area! This is a place for our readers to discuss, debate, and learn more about the Foolish investing topic you read about above. Help us keep it clean and safe. If you believe a comment is abusive or otherwise violates our Fool's Rules, please report it via the Report this Comment Report this Comment icon found on every comment.

  • Report this Comment On June 30, 2013, at 11:09 AM, strifle wrote:

    "Does the government have the technology, staff, and educational capacity to have the states' health exchanges ready for the October 1 deadline?"

    If they don't they better ask Europe for help.

    This government has to get over itself and get their act together.

  • Report this Comment On June 30, 2013, at 11:39 AM, GuitarJim wrote:

    @strifle, are you kidding? Ask Europe for help? Most countries in Europe have a single payer system where the government collects the premiums in the form of taxes and the government pays all of the benefits. That's dramatically easier to manage than a system where the premiums and benefits are collected and paid by a consortium of private health insurance companies, and the services are provided by many thousands of private healthcare providers. Making all of this work together in a coordinated fashion, and in compliance with the most complex law this country has ever enacted, is going to be like herding a million cats.

  • Report this Comment On June 30, 2013, at 11:40 AM, wscarp1 wrote:

    I'm sick and tired of the focus on possible/probable problems with Obamacare. Why not write articles that inform people as to what it will do once it's in place. Never mind exactly when the glitches, which are inevitable in a system this large in 49 states, are going to be fixed.

    There is a drumbeat of negativity in Motley Fool articles about Obamacare that is scaring and misinforming people. It's just plain disgraceful!

  • Report this Comment On June 30, 2013, at 11:41 AM, armond23hammer wrote:

    I think a random pick of 100 people from the phone book could have come up with a better plan. This thing is a mess of the highest degree and people will distance themselves from it as it gets closer.

  • Report this Comment On June 30, 2013, at 11:42 AM, 2smartforlibs wrote:

    The feds wont be ready 93 years form now. Name me something the feds do better than the private sector? This is why capitalism has such a hard time of it. We don't practice capitalism we practice socialism

  • Report this Comment On June 30, 2013, at 12:02 PM, slanciano wrote:

    Ever wonder what's really in store for you involving Obozocare ?

    Bring up this Youtube portal page and type in the following search criteria:

    Know the TRUTH about the Government Health Care Bill

    Click search - then click on one video icons on the left margin

    This is video reading of the law word for word.No propaganda just the facts.

    This ends today's lesson.

  • Report this Comment On June 30, 2013, at 12:13 PM, swbob2013 wrote:

    Don't worry the IRS can do anything.

  • Report this Comment On June 30, 2013, at 12:23 PM, auldfoxe wrote:

    The efforts by the Right in this country to stop the creation of a national healthcare system never ceases to amaze me.

    From constitutional challenges that upheld the Affordable Healthcare Act to the bestseller, "How to Survive Obamacare", the Right has been absolutely relentless in combatting this attempt to bring the U.S. into the 21st century.

    Aren't they aware that Republican presidents also sought a national healthcare policy?

  • Report this Comment On June 30, 2013, at 12:25 PM, Deseertdog wrote:

    People do you remember for months how this Odumber Care was portrayed by the Dem Progressive idiots and Progressive news to the low information citizen....O...They went on and on with it being one day 35 million uninsured then the 40 the next. .....O...Telling you no...This isn't going to cost you a red dime.. Really well for one they ... The Government desk squatter ..Have now spent like what hundreds of millions just on the paperwork...Did any of that money go to help a sick person. The hundred of millions that will be spent year after years for the redundant government insanity ...Does any of that money go to help sick people....No,,,Not a dime.. But guess what you're paying for it. So what this all again adds up to is When Big Government gets bigger you the citizen have weaker liberity ..But for the low information weak minded they think they're getting something for free from the ...Government..Dem and Republican Progressive insanity has bankrupted the nation, progressive states progressive cities ...Grow up and stop voting for idiots like Obama that give you the ...Promises of more government desk squatting...

  • Report this Comment On June 30, 2013, at 12:29 PM, prv8eye wrote:

    Are the FEDS ready??

    The question should be are the American PEOPLE ready?

    Are the American people ready to pay for medical insurance for the REST of their lives because it has been MANDATED by the Democrat Party?

    Are the American people ready for the relentless tax increases that WILL be necessary to pay for this HUGE government mandate in our "FREE" society?

  • Report this Comment On June 30, 2013, at 12:56 PM, slickeddieque wrote:

    Obama care is already a failure!

  • Report this Comment On June 30, 2013, at 1:18 PM, OdooshBag wrote:

    Diane, Brian and Scott PREFER that 0bama's government be inept and harmful.

    Sorry America, but THAT'S THE WAY IT IS.

  • Report this Comment On June 30, 2013, at 1:43 PM, greyhound44 wrote:

    Obamamama NON CARE leaves me choices after 1 Jan 2014:

    Do I keep my Medicare A - yes as it's "free" after 35 + years of maximum FICA "contributions".

    Do I keep my Medicare B - probably, as the idiots in DC officially claim there is NO INFLATION which means NO Social Security Retirement COLA for 2014, and thus, the Medicare B premiums cannot be increased (Hold Harmless). Medicare B costs are 75% subsidized by US taxpayers.

    Medicare D and F Supplement - stay tuned.

    I really want NOTHING to do with this insanity and I'm fully prepared, as an expat of ten years, to dump my coverage for an International (except US) health insurance policy.


  • Report this Comment On June 30, 2013, at 1:51 PM, dancer70 wrote:

    Read what your future looks like with obamasscare and see if this really benefits anyone except the corrupt govt....

    Page 22 - Mandates the govt will audit books of all employers who self insure.

    Page 29, Lines 4-16 - Healthcare rationing. You can only receive so much care per year.

    $5,000 per single, 10,000 per family.

    Page 30, Section 123 - There will be a govt committee that decides what treatments and benefits you receive.

    Page 42 - The health choices commissioner will choose your healthcare benefits for you. You have no choice.

    Page 50, Section 152 - Healthcare will be provided to all non-U.S. citizens, illegal or otherwise.

    Page 58 - Govt will have real time access to individuals finances and a national ID Health card will be issued.

    Page 59, line 21-24 - Govt will have direct access to your bank accounts for elective funds transfer

    Page 65, Section 164 - This is a payoff subsidized plan for retirees and their families in unions and community organizations such as ACORN

    Page 72, Lines 8-14 - The govt is creating a healthcare exchange to bring private healthcare plans under govt control.

    Page 84, Section 203 - govt mandates all benefit packages for private healthcare plans in the exchange

    Page 85, Line 7 - AARP members will have their healthcare rationed

    Page 91, Line 4-7 - Govt mandates linquistic appropriate services, or translation for illegal aliens

    Page 95, line 8-18 - Govt will use groups like ACORN, Americorp to signup individually for govt healthcare plan

    Page 102, line 12-18 - Medicade eligible individuals will be automatically enrolled in medicade - NO choice

    Page 124, line 24-25 - No company can sue the govt on "price fixing" & no "judicial review" against govt monopoly

    Page 126, line 22-25 - Employers must pay for part time employees and their families

    Page 127, line 1-16 - Doctors and the American Medical Assoc - The govt will tell you how much money you can make

    Page 145, line 15-17 - All employers must auto enroll employees into govt plan - you have no choice

    Page 149, line 16,24 - Any employer with a payroll of $400,000 and above who does not provide govt option, will pay an 8% tax on all payroll

    Page 150, line 9-13 - Any employer with a payroll between $251,000 and $400,000 who does not provide govt option, will pay a 2-6% tax on all payroll

    Page 167 - Any individual who does not have acceptable healthcare according to the govt will be taxed 2.5%

    Page 170, line 1-3 - Any nonresident alien is exempt from individual taxes (you and I will pay for them)

    Page 195 - Officers and employees of healthcare admin (Government) will have access to all Americans financial and personal records

    Page 203, line 14-15 - "The tax imposed under this section shall not be treated as a tax"

    Page 239, line 14-24 - Govt will reduce physician services for medicade. Seniors, poor and low income will be affected

    Page 241, line 6-8 - All doctors no matter what specialty, will be paid the same

    Page 253, line 10-18 - Govt sets value of doctor's time, professional judgements, Literally, the value of human life

    Page 265, Section 1131 - Govt mandates and controls productivity for private healthcare industries

    Page 268, Section 1141 - Federal govt regulates rental and purchase of power driven wheelchairs

    Page 272, Section 1145 - Regarding treatment of certain cancer hospitals, Cancer patients will be rationed

    Page 280, Section 1151 - Govt will penalize hospitals for what the govt dems 'preventable re-admission'

    Page 317, Line 13-20 - Prohibition on Ownership/Investment: The govt tells doctors what and how much they can own

    Page 317-318, Line 21-25, 1-3 - Prohibition on Expansion: The govt mandates if hospitals can or cannot expand

    Page 321, Line 2-13 - Hospitals have the opportunity to apply for exception but community input is required. (ACORN)

    Page 335, Line 16-25 & Page 336-339 - Govt mandates establishment of outcome based measures: Healthcare the way THEY want it. RATIONING

    Page 341, Line 3-9 - Govt has authority to DISQUALIFY medical plans, HMO's, etc , forcing ALL into govt healthcare plan

    Page 354, Section 1177 - Govt will restrict enrollment of special needs individuals.

    Page 379, Section 1191 - Govt creates more bureaucracy. The Telehealth advisory committee

    Page 425, Line 4-12 - Govt mandates "Advanced care planning consultation". Seniors will be interviewed every year for health issues and decisions made as to what care they can and cannot receive.

    Page 425, Line 17-19 - Govt will instruct and consult regarding living will and durable powers of attorney. MANDATORY

    Page 425, Line 22-25 & Page 426, Line 1-3 - Govt provides approved list of end of life resources - guiding you in death

    Page 427, Line 15-24 - Govt mandates program for orders for end of life. The govt has a say in how your life ends

    Page 428, Line 1-9 - And "Advanced care planning consultation" will be used frequently as patients health deteriorates.

    Page 429, Line 10-12 - "Advanced care consultation" may include an order for end of life plans. AN ORDER FROM THE GOVERNMENT.

    Page 429, Line 13-25 - The govt will specify which doctors can write an end of life order

    Page 430, Line 11-15 - The govt will decide what level of treatment you will have at end of life

    Page 469 - There will be Community based Home Medical services, such as ACORN

    Page 472, Line 14-17 - Payment to community based organization. One monthly payment to a community based organization (ACORN)

    Page 489, Section 1308 - The govt will cover marriage and family therapy. (Which means they will insert govt into your marriage)

    Page 494-498 - The govt will cover mental health services including defining, creating and rationing those services.

  • Report this Comment On June 30, 2013, at 1:56 PM, ScottKoblish wrote:

    While others are comfortable piggy-backing off of the system without paying for it beforehand, or (more likely) unaware of the tremendous costs for low-coverage plans that their employer bears for them in their name, I have been on the individual insurance market for the last 20 years. I will tell you - my insurance rates skyrocketed from 1999 through 2010, sometimes jumping 20% every 6 months and went from $50 dollars a month to $811 in the span of 15 years. My state is not allowed to interfere with rate increases. The individual market system in my state was completely broken and my insurer was in a death spiral - losing customers because rates were skyrocketing, and then having to pump up rates on their remaining customers. Too many people were protected by their boss from knowing what the rate increases were, so I completely understand why they might have sailed along thinking there was no problem, but ignorance is no excuse (in my mind) and stomping your feet about a potential solution doesn't strike me as a realistic plan. I'll tell you, this new law is going to save me a tremendous amount of money. I am looking forward to seeing the moochers finally pay up into a system that everyone winds up using at some point in their lives. I'm 43, I currently pay $811 per month and under the new exchange will be paying $215. My change is only because everyone will finally be taking personal responsibility and getting insurance - like real adults, ones who prepare for emergencies and unknowable catastrophes.

  • Report this Comment On June 30, 2013, at 1:56 PM, gaynorhenry wrote:

    Is that a trick question? When have they ever been ready? They are not even great at administering the current programs - my husband is on Medicare and was recently told he now has to pay for things he has never paid for; it only took 5 phone calls to get an answer because nobody knows what's going on. It will be a nightmare. My HMO recently sent me a letter (I do not have Medicare yet), saying I may have to change doctors and drive 45 minutes to a new location. How is that better? ANd if you think this is a disaster wait until the immigration bill passes (hopefully not but you never know); then we will see a real disaster.

  • Report this Comment On June 30, 2013, at 3:10 PM, sagehopper wrote:

    How does ANYBODY get ready for something they knew nothing about? The public is less ready than the govt. We have no IRS to take care of our needs, like the Govt does. We are at the mercy of this law and it will kill thousands of jobs, and ruin our healthcare systems for a long time..When it has to be "tweeked" and added to from the original 2,700 pages that were never read by the lawmakers, or the law signer..the President and it is now over 20,000 pages. Ready? Never. We now have the IRS hobmnailed boot on our neck thanks to a bunch of Democrats in the Senate and in the House, that had to wait until midnight on Christmas Eve to push it through..And the same people that voted for it, declined to join it themselves..

  • Report this Comment On June 30, 2013, at 3:24 PM, COSilverFox46 wrote:

    Anyone that really thinks they are going to get a deal with any insurance company needs some extensive therapy. I hope I eat my words, but so far our transparent President and his cabinet have done close to nothing promised in 2008, or for that matter whatever was promised in 2012. You really think this pile of paperwork is going to help the healthcare debacle in this country? Sorry folks but your balloon won't go up and the light bulb ain't gonna come on.

    All we are going to see is rate INCREASES for what ever reason, and 11 million new wanna be citizens on the way. Man, the rose colored glasses have to come off! So far I haven't seen anything the government gets involved in go smoothly or even close to plan. You think the insurance companies are going to give us more benefits at a smaller rate? Not a chance! Someone will be paying the piper and it will be the Middle Class as usual. It's too bad that most, if not all, of Obama's cabinet have never had a REAL 8 to 5 job and had to worry about medical bills.

    Our kids are in for it, but then again they voted the current administration into office, not once but twice. I'm on Medicare. My wife is too young and in applying for regular coverage was told by two agents that without preexisting conditions there may be a small break, but WITH preexisting conditions, yes you will get coverage, but get ready to bend over, someone has to pay for it and it will be the working stiff as usual. Can you tell that at 67 I'm not happy with what I see?

  • Report this Comment On June 30, 2013, at 3:59 PM, landshark123 wrote:

    93 days, you're kidding right???

  • Report this Comment On June 30, 2013, at 4:42 PM, therylmccoy wrote:

    I have to agree with this comment above, it's worth repeating....

    I'm sick and tired of the focus on possible/probable problems with Obamacare. Why not write articles that inform people as to what it will do once it's in place? Never mind exactly when the glitches, which are inevitable in a system this large in 49 states, are going to be fixed.

    There is a drumbeat of negativity in Motley Fool articles about Obamacare that is scaring and misinforming people. It's just plain disgraceful!

  • Report this Comment On June 30, 2013, at 5:01 PM, PattyCCc wrote:

    This is going to be an UGLY MESS... WOw.. There's no way in he world they are going to be able to keep up with who is paying.. Who isn't.. How much... Obama would have been better off with a FLAT TAX.. THIS is going to be a NIGHTMARE!~

  • Report this Comment On June 30, 2013, at 6:15 PM, bal1966 wrote:

    I say FU obama, if you want my payment come and get it in person, because that's they only way your going to get it. What a fool, and to think that actual human beings voted for this piece of garbage.

  • Report this Comment On June 30, 2013, at 6:35 PM, greyhound44 wrote:

    Claro, Insane Hussein is a Narcissist Sociopath Illegal Alien Muslim and Clinically Insane

    This POS, AG Huck Folder and all in DC need to be eliminated!

  • Report this Comment On June 30, 2013, at 7:09 PM, doco177 wrote:

    1. Millions are losing the insurance Obama promised they could keep. Because ObamaCare forces employers to offer expensive Cadillac plans but also offers the option of paying a fine for not providing health insurance that can be cheaper than providing it, between seven and twenty million Americans are likely to lose their health insurance coverage according to the Congressional Budget Office. The original estimate was closer to four million.

    2. The cost of healthcare premiums is about to further skyrocket. Premium costs have already exploded, but that is a slow-motion explosion. In the near future, we could see costs double or worse. Naturally, these costs will hit an already burdened middle class hardest.

    3. Lost jobs. Lost jobs.

    The Federal Reserve's March beige book on economic activity noted that businesses "cited the unknown effects of the Affordable Care Act as reasons for planned layoffs and reluctance to hire more staff."

    Human resources consulting firm Adecco found that half of the small businesses it surveyed in January either plan to cut their workforce, not hire new workers, or shift to part-time or temporary help because of ObamaCare.

    4. Potential doctor shortages that will mean rationing: The healthcare industry is already a bureaucratic quagmire. ObamaCare is about to add steroids. As the profession becomes tyrannized by government, the talented people currently practicing medicine plan to get out sooner than expected. Who knows how many will choose not to get in. Doctor shortages are what lead to the nightmare known as rationed care.

    5. Somewhere around $800 billion in tax increases will hit America's middle class. This added burden will not only further oppress a middle class already reeling from a drop in wages over the last few years, but could damage the overall economy.

    6. Inflation, the cruelest tax on the poor. When businesses get socked with added costs brought about by higher taxes and burdensome government mandates, they pass those cost along to the consumer in the form of higher prices.

    7. Added bureaucracy. Even those Obama lapdogs over at the Washington Post's Wonk Blog are admitting that applying for health care is about to get more burdensome than the byzantine paperwork involved in buying a home.

    8. To cut costs or to avoid having to provide insurance, workers on the economic margins are already losing hours, which means a lower paycheck. There are a million sad stories in ObamaVille; here are just a few of them.

    9. ObamaCare is projected to add $6.2 TRILLION to a deficit the GAO has already declared "unsustainable." That's "trillion" with a "t".

    10. More taxes than currently estimated are likely to hit because of situations like this one.

    11.Muslims, Amish, Native Americans and other groups are exempt from mandate and penalties under Obamacare that the rest of us have to pay.

    The govt becoming more involved in health care is the reason the costs have increased. So Govt creates a crisis, then provides a solution that comes at the expense of liberty and freedom, costs trillions, and by most accounts won't solve the problem but in fact make it far worse.Corruption, incompetence, disregard of the Constitution, and lying are integral to the way that this country is being run.

    Three years ago, Obama, Democrats, and his media lied to us about cutting the cost of health care, being able to keep our insurance, and not taxing the middle class.

    Today, those lies and what ObamaCare is and will do to the working and middle class are the biggest untold story in America.

    Just refuse obamacare..REFUSE..If only a mere 20% of the over 300 million population of the USA refuse Obamacare the government would be overwhelmed to even think they could lock every citizen up that refused to participate in the most corrupt and unlawful ways which it was passed that circumvented the constitution of the United States.

  • Report this Comment On June 30, 2013, at 8:01 PM, oldoldold wrote:

    Trouble is we will have a shoratage of Doctors and we will see more who do not pay getting service. We may even see no choice what doctor we can see.

  • Report this Comment On June 30, 2013, at 10:10 PM, NoMoeMoney wrote:

    To those on this board wanting to know the positives: you have to wait for it to happen to see whats in it ! Even those who champion obamacare don't know what to expect? This diaster has a real chance to completely wreck this country and I believe that's Obama's goal. He has an agenda and it doesn't include you having rights and liberties. Be prepared for anything and above all else, try and stay healthy and don't get sick, your life could depend on it because you will be the only one who cares if you live or die.

  • Report this Comment On June 30, 2013, at 11:30 PM, Gene0001 wrote:

    Feds have the technology...... NSA

  • Report this Comment On July 01, 2013, at 8:58 AM, stevema1 wrote:

    I have been dealing with ovomit care now for 2 years. I am disabled and I try to get benefits only to have them for a while and either I get dumped OR they change the benefits.

    For example, I paid for medical that would cover 100%, only to have some surgery done to find out that they refused the entire thing. But before tat it was the 20% they refused without telling me. And I paid for the 100% coverage.

    This has gone on for at-least 4 carriers.

    SO to all you liberals that think this is a breath of fresh air LOL keep living in ovomit land because your in for a surprise.

    NOTHING IS FREE MORONS typical liberal communists.

  • Report this Comment On July 02, 2013, at 2:30 PM, medicalquack wrote:

    Well I'm sum this up, "Will it blend"...let's not forget the legacy COBOL systems that may not scale too well. COBOL is rock solid but eventually runs out of room and we have these old IRS, Social Security and other mainframes that will now have to perform and nobody has one clue how it will work.

    Actually, the IT Infrastructure planning here was poor as we have executives that get Algo Duped in believing "anything is possible", and well it might be if you don't have a specific time frame and can wait for a ton of proto types to be built and tested:) Here's what I said on the topic, but again remember nerds and geeks "never" have any say, we are just some grunts with talent:)

    We are Algo Duped and no bigger example than HHS and frankly they should keep their mouths shut at times so they don't expose themselves in this area, nothing personal but when you read about the director of HHS stating "we have to hurry up Health IT" and then last year HHS and DOJ send out letters accusing all doctors and hospitals of cheating on their billing with nothing brought to the table...well it shows they are behind the 8 ball and silence on some topics might do them well:) Let's not forget Congress as they are right in there too with all of this and digital illiteracy:) Algo Duping and the data selling epidemic is having a huge impact on both Obamacare and the economy. Folks smarter than me are spreading the word and I grouped a bunch of their videos together on what I call the Algo Duping page...layman can get something out of all of this too here with understanding how we end up with the Attack of of the Killer Algorithms that are everywhere today:) I really should make that movie as Killer Algorithms has a good ring to it as far as big screen appeal I think:)

  • Report this Comment On July 04, 2013, at 10:13 AM, skypilot2005 wrote:

    Most of the positive comments are from members who joined the day the article was published..

    Could they be Obama Care "plants" from the White House?....

    Maybe the N. S. A. is tracking more than our telephone calls.....

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