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Obamacare Exchanges Months Behind In Testing IT Data Security

An anonymous reader sends this excerpt from a Reuters report: "The federal government is months behind in testing data security for the main pillar of Obamacare: allowing Americans to buy health insurance on state exchanges due to open by October 1. The missed deadlines have pushed the government's decision on whether information technology security is up to snuff to exactly one day before that crucial date, the Department of Health and Human Services' inspector general said in a report. As a result, experts say, the exchanges might open with security flaws or, possibly but less likely, be delayed.'They've removed their margin for error,' said Deven McGraw, director of the health privacy project at the non-profit Center for Democracy & Technology. 'There is huge pressure to get (the exchanges) up and running on time, but if there is a security incident they are done. It would be a complete disaster from a PR viewpoint.' The most likely serious security breach would be identity theft, in which a hacker steals the social security numbers and other information people provide when signing up for insurance."

23 of 398 comments (clear)

  1. Is anyone really surprised? by rcoxdav · · Score: 4, Informative

    By the history of large government IT projects, this is pretty well normal. The DOD, IRS, and just about every large department has had anything from minor to major disasters when setting up or updating systems.

    I think too much of this is due to government bidding requirements that put too much emphasis on who you know more than what you know. I have seen too many stories where competence is the last thing looked at for contractors.

    1. Re:Is anyone really surprised? by antifoidulus · · Score: 5, Insightful

      Do you have any data that says they have more issues than private companies who undertake IT systems of a similar size? You are probably just more aware of the failures of the government systems because they are by nature public(obviously excluding NSA CIA etc....). Any sort of large IT system has plenty of places it can fail, slipping deadlines aren't exactly solely a "government" thing.

  2. Even supporters should want to kill this thing by Karmashock · · Score: 5, Insightful

    Obamacare failing doesn't serve anyone's interests. And it won't succeed. Its too poorly set up to do anything but fail.

    So if you want socialized medicine... this will only make your idea appear stupid or your political allies too inept to execute such a plan.

    If you don't want socialized medical care this will effectively give it to you anyway... but it will be even more expensive... badly run... and generally all the negatives will be more negative.

    So lets not do this... kill it and restart the debate on it. Does that mean the supporters will have to ACTUALLY get support for their program this time instead of sneaking it through? Yes. But they should have done that in the first place and this is so screwed up in large part because they broke the rules.

    I know what the supporters are going to say... that they followed the letter of the law. Possibly by the narrowest possible definition. But you know damn well that you broke the spirit of the law in half getting there.

    That said, that isn't the point of my post. My point is that indifferent to all that, Obamacare is unfixable. It needs to be put down like a rabid dog and THEN we can evaluate what our options are after that. But causing American insurance premiums to double is not in any one's interest. Stop it.

    If you care about the poor. Stop it.
    If you care about jobs. Stop it.
    If you care about the country. Stop it.

    At this point, the only reason to support it is ego... aka fear of looking like a fool after investing so much political capital into the issue... or ignorance.

    That's all that's left.

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  3. Re:What a clusterf**k. by antifoidulus · · Score: 5, Insightful

    Forcing successful people to pay for insurance for the dregs of society is just wrong.

    Exactly, that's why I love public health insurance. I don't have to buy a 3rd yacht some insurance exec whose daddy got him a cushy job. I get better health care and CHEAPER then I ever got with my garbage "high end" health insurance in the states. Yeah I may pay a bit more than a poor person(and probably pay some of their share), but not having to support worthless execs means that it is cheaper than that private garbage.

    Before mouthing off about costs, how about do a little research? Like the fact that the US spends roughly 2x as much(as a % of GDP) than any other industrialized nation(who all have public health insurance) and yet the health outcomes are not any better for all that cash spent. Oh I'm sorry, did I use facts with a Republican? My mistake.

  4. Re:What a clusterf**k. by mwvdlee · · Score: 3, Interesting

    Please explain what is so different about the USA that Obamacare-like systems work in pretty much the entire civilized world except the USA.
    Is the rest of the civilized world so incredibly brilliant, is the USA so incredibly retarted, or is it just you?

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  5. Re:What a clusterf**k. by Anonymous Coward · · Score: 5, Informative

    Why's that? My brother is self employed and his insurance premiums have so far doubled under the "affordable care act". I don't know mine exactly only because I'm under a group policy through work, though with the numbers they post for what my insurance is worth, that's gone up by roughly $1000 a year and I'm single, early 30s, non-smoker, and at 5 foot 10 and 170 lbs, not exactly obese. As another data point, I'm currently working on my masters, and we are automatically enrolled in the campus health insurance plan and have to waive it. It was $798 PER SEMESTER! And it's not what I'd call great coverage. When I did my undergrad it was like 200 a semester, and I graduated in 2006. Not like it was eons ago.

    I'd say calling obamacare a cluster is quite accurate so far. Seriously, can anybody come forward and say that their insurance premiums are cheaper now? I heard that the minimum coverage in cali was estimated to be something like 340 a month for a family of 4. Thats pretty much a BMW car payment. Not what I call affordable.

  6. Re:What a clusterf**k. by Anonymous Coward · · Score: 4, Insightful

    Let's face it: prevention is not profitable for the medical industrial complex. Waiting for things to be come an emergency means the costs are much higher and the hospitals (all most all owned by huge corporations) either get paid or write off the bad debt to offset taxes. Prevention just can't offer the revenue potential.

  7. Just locks-in the current system by argStyopa · · Score: 5, Insightful

    What's even dumber is the concept of state-level exchanges.
    A primary driver of high health-care costs is the balkanization of healthcare across states.

    Allow the voluntary harmonization of various states' health care codes, which would in turn allow insurance providers to offer the same plan in several states. The 'health care exchanges' offered in the Obamacare bill would have been a perfect opportunity to allow capitalism to work to lower costs and increase competitive pressures - this plan merely ossifies the state-level segmentation of the marketplace.

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  8. Re:Social security numbers? by I'm+New+Around+Here · · Score: 4, Insightful

    How else will the IRS verify we are legally enrolled in a plan, and don't have to pay the fine/tax/fine/tax?

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  9. Re:What a clusterf**k. by Trepidity · · Score: 4, Interesting

    Amusingly, despite the government=bureaucracy equation that many people seem to assume, one of the big benefits is how much less bureaucratic it is, too. When I moved from the US to Denmark, my health care got immensely simpler. In the US, I had to read tons of fine print to buy insurance in the first place; then fill out claim forms, separate ones for each provider (if you end up in a hospital you will be billed separately for the hospital bed, for the anesthesiologist, for the laboratory work, etc.), then lawyer about these on the phone as they were inevitably filled out incorrectly and various claims were denied until the second or third try.

    Now everything Just Works and I don't have to fill out a damn piece of paper ever. Well, I had to fill out one: when I moved to the country I had to fill out an application for the health-insurance card. It took about 15 minutes, and came in the mail two days later.

  10. Re:What a clusterf**k. by khallow · · Score: 4, Insightful

    Please explain what is so different about the USA that Obamacare-like systems work in pretty much the entire civilized world except the USA.

    The only thing wrong here is your assumption that there are other Obamacare-like systems elsewhere in the world.

    is the USA so incredibly retarded

    This. Due to the massive cost increases in health care that Obamacare encourages, I'm not even sure it'll succeed in its alleged primary goal, improving health care coverage.

    And the law is so bad that allies of the people who passed the law are trying hard to get out from being covered by the law. There's been a series of waivers of various provisions of Obamacare that went to allies of the President and certain congresspeople. I'm sure we all appreciate the passage of laws which are supposed to be for our own good and for which the allies of the people who advocated the laws are at least partially exempt.

  11. Re:What a clusterf**k. by Pino+Grigio · · Score: 5, Insightful

    but you get sick in Britain, you go to NHS, you probably don't pay a damn thing

    Like hell you don't pay a damned thing. Ever heard of taxes? Worse, there's a lot of corruption here hiding massive healthcare failures, including huge numbers of people who are now dead who shouldn't be due to poor care. I wouldn't hold up the UK's socialised healthcare system as an example to follow.

  12. Re:What a clusterf**k. by Trepidity · · Score: 4, Informative

    The effective income tax rate (i.e. taking into account exclusions and the different brackets) is more like 35-40% for a middle-class family. You don't pass even a 50% effective rate until you're making well north of €200k/yr.

    And note that this rate includes health-care, which in the U.S. is billed separately. It also includes university education, which in the U.S. is billed separately. If you add up what a typical American pays for [federal income tax + state income tax + payroll tax + student-loan payments + healthcare premiums/copays], it's higher than what most Danes pay if you're in a middle-class bracket. The comparison is even more favorable to Denmark if you're an entrepreneur: once you add in that self-employed Americans have to pay double payroll taxes (15.3%) and have to buy individual health insurance, Denmark starts to look a lot cheaper!

  13. Re:What a clusterf**k. by h4rr4r · · Score: 4, Informative

    Campus health care is often a scam. The University is getting a kickback for signing you up. They want the cheapest plans for the employees they care about, not some grad students.

    $340 is not a BMW payment, more like a normal car payment for a normal term loan. A cheaper BMW like the base 3 series sedan goes for $32550, a 60 month term at 1% interest would result in a $556.40 monthly payment.

    Minimum coverage costs have gone up now that minimum coverage actually has to cover something. Some of those very cheap plans had low lifetime cost ceilings. Meaning when you needed it most, like you had a major medical problem, you would run out of insurance coverage.

  14. Re:What a clusterf**k. by h4rr4r · · Score: 3, Insightful

    What will happen next is you will end up in the ER for a real medical condition, the hospital will write it off and I and other taxpayers will be stuck paying. If you are very lucky someone like my mother will get the hospital to transfer you from the ER to a regular bed and they will pay for your treatment as an act of charity. Then the hospital will have even more cost to write off and for the rest of us to pay.
    If you are less lucky you will be treated only in the ER and released to die at home. Cheaper for the taxpayer, but clearly not the superior choice.

    Where did you get these numbers? Their are low cost plans for those who cannot pay.

  15. Re:What a clusterf**k. by h4rr4r · · Score: 4, Insightful

    The other option of course being what we have in the USA that people simply die from lack of treatment.

    http://abcnews.go.com/Health/insurance-24-year-dies-toothache/story?id=14438171

    Before you claim that man was stupid try to remember the pain he was in. No one makes good decisions in that kind of state.

  16. Re:What a clusterf**k. by Muad'Dave · · Score: 5, Informative

    From a purely precedent standpoint, the OP is at least somewhat correct. This is the first time in the history of the US that any government - federal, state, or local - has been given the power to force a citizen (with the threat of fines and arrest) to purchase a commercial product. It was very obvious that Obama wanted to make this a precedent - he didn't take the easy way out and claim it was a tax, he wanted it to be clear that this was a new power for government.

    Think about it a little - what other things can you think of that a citizen is required to do by a government as a result of being born and NOT as the result of a personal choice?

    * Must you have a SSN? Nope. You are not required to apply for one.
    * Do you have to pay taxes? If you choose to not work, no job, no income, no taxes (I assume your family is willing to support you).
    * Do you have to attend public school? No, you can be home-schooled or just not attend (your parents might get in trouble if the gov't knows about you, or you could've been born at home).

    The only thing I can think of is that males of a certain age must register for the draft. That's literally all, except now you must also buy insurance.

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  17. Re:What a clusterf**k. by Pino+Grigio · · Score: 4, Interesting

    That's not true at all. We don't hear about it because a government body was set up under the last government with the remit to hide failures and prevent them coming to light, under the euphemism Care Quality Commission. The Commission has two jobs, (1) to cover up its own failings and (2) to cover up its own failings. It also occasionally provides cursory inspections of hospitals, failing to publish the truth about poor practice at any available opportunity.

    The only reason we're hearing about it now is because of some very brave relatives. Also remember that UK FOI is much weaker than US FOI.

  18. Re:What a clusterf**k. by Muad'Dave · · Score: 3, Insightful

    We don't ballyhoo our [non-existent] National Health Service to the world as the pinnacle of Socialism while accepting charity from a country we look down our noses at for being uncivilized and barbaric with regard to health care.

    It would be like us claiming our system is perfect in the face of Obamacare while accepting donations of chicken bones and rattles from Amazonian witch doctors.

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  19. Re:What a clusterf**k. by operagost · · Score: 4, Insightful

    Sometimes private companies do deny treatments, and I find this immoral. But we have a legal system in place to punish them. When the NHS lets you die because cancer treatments cost too much, the subject has no recourse. The government is supreme, and holds the power of life and death over you.

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  20. Re:What a clusterf**k. by bzipitidoo · · Score: 4, Insightful

    The current system is a bigger clusterf**k than anything you're imagining.

    which they turn around and fund their R&D with.

    They'd like you to believe that. And it seems that you do. Sure, some do some R&D. But all use a lot of that money for fat bonuses for their execs, and other dubious purposes such as advertising. I have not heard of insurers such as Blue Cross Blue Shield doing any research at all. Those who do, don't do much basic R&D. Instead they lean on publicly funded institutions of higher education for that. They get a free ride there. What good is the heavy advertising they do for name brand drugs? Why are these ads aimed at patients? Most patients are not medical professionals. Then, what of the money they spend on "intellectual property" to "protect" their precious drugs? Some of the monies that should be spent on our health goes towards lobbyists whose jobs are to persuade or bribe government to shore up monopolies and destroy competition. And the whole thing is aided and abetted by people like you who blindly believe in Big Pharma and friends.

    Formerly free society? You talk like our current health care system is some paragon of competitive efficiency. It's not. It's full of fraud and waste. It's dirty pool. Price controls? There's an excellent method of price control: Competition. Too bad there isn't much competition, not that there's scope for it in all areas. But where there could be competition, there isn't. A person who needs emergency medical treatment obviously has no time or opportunity to comparison shop. Such people are the perfect captive consumers who routinely get bilked. It is no coincidence that our care is geared towards emergencies and not prevention. Obamacare has a lot of flaws, not least thanks to Republican attempts to deliberately screw it up. But it's a start. The medical community has only themselves to blame for bringing this upon them. They've had decades to demonstrate the effectiveness of the current system. Instead, they've abused their position of authority, their power, to bleed us all.

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  21. Re:Ironic by MightyYar · · Score: 3, Informative

    If one can look at Europe's huge deficits, debt, and unfunded liabilities - which are not even included in their debt numbers - and say they can afford it...

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  22. Re:What a clusterf**k. by microbox · · Score: 4, Insightful

    It amazes me that libertarian health reformers -- while they have some good ideas -- are blind to the fact that "free" markets themselves have corruption and abuse. Government isn't an all-or-nothing affair. It is a question of whether the government solution has more or less corruption than the private solution. That is an empirical question, not an ideological debate. If the government solution has less corruption, then why prop up some corrupt plutocrat?

    In Britain, doctors get paid for patients they have who do not visit. That's a financial incentive to keep people healthy. My health plan (in the US) gives free preventative services. I've lived in Australia and Canada, and they have vastly superior and cheaper healthcare systems than the US -- and that includes preventative services. But my US healthcare, whilst much more expensive, is vastly inferior to what I got in Australia (in particular)

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