Stanley Feld M.D., FACP, MACE Menu

Results found: 38

Permalink:

The Method Of Operation

Stanley Feld M.D.,FACP,MACE

It’s clear. President Obama
has used the same techniques to neutralize the scandals and mishaps during his
administration.

In has been the same for Benghazi,
NSA, IRS, and Fast and Furious scandals.

President Obama makes his
characteristic statement, “This is unacceptable
and we will get to the bottom of this.”

After this statement there is
never any follow-up. What has been done? Has President Obama gotten to the
bottom of it?

The public never learns who
was responsible for the debacle. No one ever gets fired and the traditional
media carries on. The public soon forgets about a non-resolved scandal.   

President Obama always leads the
public to believe he had nothing to do with the scandals or the decision-making
leading to the scandals.

He is the President. He should
know. If congress investigates the scandal it gets stonewalled by the administration. The investigationg committee then is accused
of muckraking.

Somehow the traditional media
buys this story and sells it to the public. It is the journalist’s obligation to
dig into a scandal and find out the real story. It is not done.

Nothing this administration
does has been transparent. The traditional media ignores the scandals and so
does the public.

The devil is always in the
details.  

The real story is the attack on individual
freedoms and choices. They are being impinged upon by the bureaucratic regulations of
big government. The traditional media should make this clear.

America does have a freedom
of information act and constitutional rights that have to be protected and not
ignored.

All the participants in the
various scandals finger point to others being responsible for the actions that
would not be approved by the people.

No one ever questions whether President Obama is
responsible for the scandals.  

The same method of operation
is being put in place to explain the colossal disaster of www.healthcare.gov’s rollout.

The Obamacare web site has
many problems. It is not a simple fix as the President and his administration
has declared it to be.

President Obama claims he did
not know anything about the problems before the launch. He has promised to get
to the bottom of this.

He is finger pointing to
everyone except himself and his administration. 

If the Obama administration
did not know about the impending failure it is either stupid, or irresponsible
or both.

President Obama is not stupid. He is cunning.

These are President Obama’s remarks in the
Rose Garden of the White House last week.

 “Shortly
before the president’s appearance, White House officials 
let it be known that the “president will directly address the technical
problems with HealthCare.gov – troubles he and his team find unacceptable.” But
in that Rose Garden appearance, the president did not explain what the
technical problems with HealthCare.gov were, though he did acknowledge their existence and stated “there is no excuse” for them.

He then promised he would recruit the best
information technology talent in the country to come to the rescue and fix the
problems.

President Obama happened to hire one of Michelle
Obama classmates at Princeton in a no-bid contract to build the web site.
The
administration paid $634 million taxpayer dollars to Michelle Obama’s friend’s
company and got a disaster.

"Toni
Townes-Whitley, Princeton class of ’85, is senior vice president
at CGI Federal, which earned the no-bid contract to
build the $678 million Obamacare enrollment website at Healthcare.gov. CGI
Federal is the U.S. arm of a Canadian company.

"Townes-Whitley
and her Princeton classmate Michelle Obama are both members of the Association of Black Princeton Alumni."

The Obama administration also awarded CGI
another no-bid contract for 2 billion dollars to clean up from the Sandy
Hurricane.

 Mr.
Nelson
chair
of Housing Trust Fund Corporation
presented that the State
received a $1.7 billion allocation in CDBG Disaster Recovery aid from HUD to
aid impacted businesses and residences.



 The
corporation requires immediate access to consultant services to assist in policy and
procedure development, training, surge capacity, and call center assistance,
and stated that CGI Federal Inc. could provide such services.

The
resolution was passed and scheduled to “take effect immediately.”

Nearly a
year after the devastating storm, a majority of the 24,000 families that have
requested monetary assistance have yet to receive a penny from the federal aid
package.”

Does anyone think something funny going on at
taxpayers’ expense?

Shouldn’t President Obama have hired the best
minds in the country to build the web site to begin with?

Do you
remember this famous statement?


 
 

http://nyti.ms/18ThbbJ

Ezra Pound
is a big fan of President Obama and Obamacare. What happened? Did he change his
mind?

  

http://www.youtube.com/watch?v=AQxYY2dyChY&feature=player_detailpage

 Uwe Reinhardt is an economics professor
Princeton. He
gave
President Obama an F on his mid-term grade on Obamacare.

 “With proper management and more energetic work earlier
on, and untainted by the political desiderata
 reported to have affected the architecture of
HealthCare.gov, that Web site’s management team should have been able to
achieve the same success. It did not, hence the midterm grade F.”


 

A key discussion being avoided in the
mainstream media is whether President knew about the impending disaster. I suspect
he did.

It was one of the reasons he gave the group
healthcare insurance holders a one-year waiver. Parenthetically, he is not
seeking the advice or consent of the congress. This is probably
unconstitutional.

The group healthcare insurance market represents
the largest percentage of people insured. The individual insurance market represents
a relatively small percentage of the total insured population. The number of
people affected cannot make a big enough stink to be noticed by the traditional
media.

If the group insurance market were included in
the rollout, the community uproar would be too great for the Obama administration
to ignore or pivot from.

The public is already hearing the pivot from
President Obama and Kathleen Sibelius. They claim the past is the past. We must
ignore the past and go forward to fix the problem.

It sounds like the same story Hillary Clinton
told congress about Benghazi when she scolded a congressman during her Benghazi
testimony about Ambassador Stevens death. “He
is dead. Let us go on and deal with the problem.”

This method of operation is going to back fire
on President Obama for two reasons.

1. Americans are finally recognizing the Obama
administration’s methods of operation. It is to deflect with half-truths,
deceive and pivot. The public is getting angry.

2. There are an increasing number of people
who have lost their job, their healthcare insurance and the doctors. In the last
week 650,000 people lost healthcare insurance coverage they liked.

This is because of the exclusive regulatory
control the Democrats gave Kathleen Sibelius in passing Obamacare.

Not one single Republican voted for the
Affordable Care Act (Obamacare). 

The preparations for the implementation of
Obamacare for the group healthcare insurance market through health insurance
exchanges and www.healthcare.gov have unleashed gigantic outcries from both the
young and the middle-aged middle class.

The outrage is not over yet.

President Obama said he did not anticipate
that so many corporations would reduce insuring so many of their workers.

President Obama has discovered an obviously
scapegoat.

The “glitch” is not
Obamacare fault. It is the big bad corporations that are trying to make a
profit.

Wait a minute! Isn’t that the American way?
You build a business to try to make a profit within the rules.

The 40,000 new Kathleen Sibelius healthcare
regulations are preventing them from making a profit while providing healthcare
insurance. They want to provide affordable healthcare coverage.

The only way corporations can make a profit is
by dropping healthcare insurance of their employees.

Maybe driving people into the health insurance
exchange was President Obama’s goal in the first place. Remember Barney Frank
and John Kerry’s dismay about passing a bill without a public option. President
Obama response was don’t worry.

Well, we have an expensive public option that
doesn’t work. Who is going to pay for it?

 The
middle class is going to pay for it with increased healthcare insurance
payments and increased taxes. 

 The
cost of insurance on the health insurance exchange is high unless one qualifies
for a government subsidy. I have previously explained the dynamics involved in the
cost of healthcare insurance when a person receives a government subsidy.

Young healthy people will not buy insurance.
With the present computer programs the government will not know who qualifies
for a subsidy or be able to identify people will should be penalized.

A key to a business’ survival is to adjust to
adverse circumstance as long as the business has the freedom to adjust.

Watch out for the freedom to adjust to
anything.

Watch out seniors. Medicare is next.

The opinions expressed in the blog “Repairing The Healthcare System” are, mine and mine alone

Please have a friend subscribe

Permalink:

A Disaster, Not A Glitch

 

Stanley
Feld M.D.,FACP,MACE

 

There is an important
lesson in the recent Healthcare Insurance Exchange computer program “glitches”.

Once more the Obama
administration only presents a fragment of the truth. Unfortunately, the
traditional media accepts President Obama’s explanation and that is the news.

 

http://youtu.be/OCZLy_-IJ_s

The online
health insurance exchange program should be very easy to execute. All of the
major healthcare insurance companies have an online presence. People can go
online, put in simple demographics, and in a matter of seconds they can have at
least 100 healthcare insurance products to choose from. 

The Obama administration told the media that the software
developed for the web site, by CGI a Canadian company with offices in
Washington D.C., had an estimated cost of $93 million.

USAspending.gov said it cost the government $634 million dollars. The site calculated the cost from grants paid to CGI. This is seven times the
estimate published by the administration.

“Not only was the site still experiencing
substantial problems a week after launching, but the White House had reportedly
been aware for months that the HealthCare.gov website had flaws and might not be
ready to launch. Yet officials insisted on the Oct. 1 roll out anyway.”

The problems experienced by people trying to use the user
interface was something that was tested least or not done right — or both.'

– James
Turner, a member of the technical staff at software firm Beeonics, Inc
.

The healthcare industry,
participating in the new exchange, complained “loudly” that the site had
experienced problems before the launch.  

Speaker of the
House John Boehner asked, "How can we tax people for not
buying a product from a website that doesn't work?"

The front end user experience is only a fraction
of the problem with the federal health insurance exchange site.
A front end user’s
experience typically means there is something wrong with the basic construction
of the software.

The
monumental issue of the site involves interfacing seamlessly the multiple
government agencies (IRS, HSS, CMS, Welfare, Food Stamps and others) and
private insurers legacy’ computer networks. Each agency and organization has a
myriad of computer networks that must interface with the health insurance
exchange web site.

It is
reality easy to have a pretty front end interface with the user. If the
software program is poor the interface is a disaster.

These
computer networks must be integrated into what appears to be a fancy front end.
It looks as if this software is incapable of this very complex integration.

It is
one of the reasons that verifying patient for subsides has been dropped and the
government is going to take the patient’s word.

These
problems were published in blogs for months. The software  failed initial testing.

The
Obama administration did not delay the launch despite these warnings.

Now President Obama has
told us that this is a small “glitch.” He compare it a glitch Apple had with
its launch and it did not put them out of business.

"Take
away the volume and it works," President Barack Obama's chief technology
adviser, Todd Park, 
told
USA Today. 

Either
President Obama does not know what is going on or he is not telling the truth to
the American people.

The
administration has blamed the glitch on the high volume of people trying to
access the site. This is partially true.  

The prediction by experts is it will likely take
months to get it running properly. The rollout was disastrous.  There were 8.6 million unique visitors in the
first 3 days hoping to apply and enroll in a healthcare
insurance plan.  Instead they experienced
an online nightmare, with websites crashing, refusing to load, and failing to
offer comprehensive choices.

 The demographics of the 8.6 million are
unknown. They may all have been high risk uninsured people.

The Daily Mail is reporting that
sources within HHS are saying only 51,000 people signed up for insurance via
the government run website Healthcare.gov in the first 12 days,
 

Two HHS career civil servants told
the Daily Mail that only 6200 people signed up on the first day. “

White House and administration officials continue to insist they
have no idea how many people have signed up but will release the numbers
monthly after November 1.

Is the administration trying
to hide something?

“If the state-run
exchanges were to have a similar response rate for six months, the national
enrollment total would be approximately 2 million in six months."

That number is less than
29 per cent of the 7 million the Obama administration would need, according to
the nonpartisan Congressional Budget Office, in order to balance the new health
insurance system's books and keep it from financial collapse.”

The White
House’s published goal is to enroll at least 2.7 million young, healthy people
between the ages of 18 and 35 in 6 months.

The monthly
premiums of healthy, low risk people are needed to offset the cost
of health care for older, sicker Americans who will certainly try
enroll.

The CGI website states;

“Exchanges
must provide many different functions, the soundest approaches bring together
expertise and best practices in federal and state health programs, commercial
insurance, data exchange, portals, e-commerce over the cloud, and financial
management.”

“ CGI
brings all of this expertise to the table, along with direct experience in
developing sustainable HIX programs. We also have a dedicated group of subject
matter experts tracking best practices for state HIX and
integrated
eligibility systems
across the United States.”

CGI knows
what to say. It has not shown that they know what to do.

The Obama
administration may have wasted $634 million taxpayer dollars on software that
does not work.

This is
more than a glitch. This is a disaster.

Just wait
and see the prices for a Bronze level healthcare insurance plan once people can
negotiate the site.

No one is
going to be able to afford the insurance in the Affordable Care Act
(Obamacare).

Another
disaster will be coming your way complements of Obamacare.

The opinions expressed in the blog “Repairing The Healthcare System” are, mine and mine alone

Please have a friend subscribe