Monday, September 2, 2013
Affordable Care Act in Transition
The world is in transition, and so is health care. It is apparent also that the Affordable Care Act is missing the mark. Even before the ACA becomes effective it is in transition. All of us compulsive professionals who like things to be clean, neat, orderly and predictable are awakening now from a deep REM sleep with a very big headache, vertigo and confusion.
Our feckless quarter-back, Barack Obama and tight-end Sibelius party on as if everything is going well, while they drink the 'kool-aid' the rest of healthcare is in turmoil. There are those who are endlessly optimistic to make it happen while at the same time suppressing any feeling of possible failure. “Failure is not an option”.
Obama and Sibelius take the team back to the locker-room to review the game plan and the score just before the half-time break. The cheerleader section (health insurers, pharma, take a break and march on the refreshment stands
The scoreboard statistics don't reflect the QBs pronouncements. At the half there already have been numerous penalties for “Delay of Game”.. individual mandate and employer mandate. In the third quarter there will likely be a delay of the Health Insurance Exchange.
Even the 'fans” (Congress) may be asking for it's money back and refuse to purchase tickets for a game that may not even be played. It is getting harder and harder for the fans to buy tickets when there is not enough money to pay for 'peace-keeping', the war on terror, and border protection. Things are so bad that the vendors are now accepting SNAP and EBTs cards.