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Healthcare.gov Official Resigns, Website Still a Disaster
Nerval's Lobster writes "A government official who helped oversee the bug-riddled Healthcare.gov Website has resigned his post. Tony Trenkle, Chief Information Officer (CIO) for Medicare and Medicaid Services, which oversees Healthcare.gov, will reportedly join the private sector after he departs on November 15. A spokesperson for the Medicare agency refused to say whether he had been forced out, telling reporters: 'Tony made a decision that he was going to move to the private sector and that is what our COO announced yesterday.' Because of his supervisory role, Trenkle is considered a significant player in the Website's development; The New York Times indicated that he was one of two federal officials who signed an internal memo suggesting that security protocols for the Website weren't in place as recently as late September, a few days before Healthcare.gov's launch.Following Trenkle's resignation, Health and Human Services secretary Kathleen Sebelius admitted to the Senate Finance Committee that Healthcare.gov would require hundreds of fixes. 'We're not where we need to be,' she said. 'It's a pretty aggressive schedule to get to the entire punch list by the end of November.' Sebelius added that she was ultimately accountable for what she termed the 'excruciatingly awful' rollout. Healthcare.gov has experienced massive problems since its Oct. 1 debut. In addition to repeated crashes and slow performance, the Website's software often prevents people from setting up accounts. President Obama has expressed intense frustration with the situation, but insists the Affordable Care Act (ACA) backing the Website remains strong. 'The essence of the law, the health insurance that's available to people is working just fine,' he told reporters in October. 'The problem has been that the website that's supposed to make it easy to apply for insurance hasn't been working.' While the federal government won't release 'official' enrollment numbers until the end of November, it's clear that the Website's backers are losing the battle of public perception."
It seems like a giant project that was hurried, kind of like a Windows Vista. Isn't it getting gradually fixed?
I hear Microsoft is looking for a CEO..
By chance is he going to Oracle?
Seems fitting...
project management. (Score:?)
by Anonymous Coward on Thursday November 07, 2013 @10:21AM
I would think plenty of people know the answer to this question.
What are your chances of succeeding in delivering a software project with.
1) ambiguous and changing requirements that are not yet settled.
2) massive need to co-operate with hundreds perhaps hundreds of thousands of entities.
3) all kinds of requirements for security and audit from various federal regulators
4) A hard fast deadline that has no way of being slipped?
Any guesses ? Anybody ?
The only 'possibly' unexcusable thing is that nobody seems to have been told that it wasn't going to happen.
But you tell me, if you are a cook who cooks great 3 min omlets and some smuck comes in
and gives you $1000 for a 1 minute omlete , what do you do ?
Sebelius added that she was ultimately accountable for what she termed the 'excruciatingly awful' rollout.
Accountable how? Will she get a black mark on her annual review? She still has her job.
"will reportedly join the private sector"
Is that what unemployed people are called nowadays? No wonder reported unemployment is so low, contrary to all observable evidence. Certainly he won't be going into a "job" straight away - who in their right mind will hire him?
Seven puppies were harmed during the making of this post.
After a big disaster some company is actually going to hire him?
For most of us "little people" it would be the end of our career.
"So, why did you leave your previous employer?"
"Well, I oversaw a giant public project that went terribly wrong, so I resigned out of shame."
"Hmm, ok. Pending a criminal background check, could you start Monday?"
Everyone involved needs to be fired.
Watched that Kathleen Sebelius yesterday. She basically read the marketing spiel for 20 minutes. Anytime she was asked a question she had no real answers.
She has no clue at all what shes doing. How long it's really going to take. Or how broken it really is. She has failed completely at her JOB.
And this wasn't some last minute thing. They have had YEARS and a huge pile of money to get done a simple task.
Fire her.
And then start an investigation to find out where all of the money actually went.
Perhaps fire insurance would have covered this. It's what insurance is for. Why should I give $600k to someone dumb enough not to insure his asset/content/art/whatever. He's only going to have another fire later...
Seven puppies were harmed during the making of this post.
Obama never envisioned Obamacare actually working. It was just a means to an end - single payer. It was designed to be an utter failure from the get-go.
My previous analysis
Simply:
One: Schedule Fail. Compounded by late award of the contracts to develop/influence:
Contracts Awarded Dec 2011
Two: massive requirements base to develop specification for development and implementation: The PPACA was 1800+ pages, and the associated regulations are 10,000+ pages, and are STILL changing. Can't develop without a spec and design, with big parts of requirements still changing.
Three: inadequate testing. The above-referenced link states that security testing BEGAN in August 2013, less than two months before rollout. There's no mention of load testing. .
UPDATE: There WAS load testing, Radio reports say it was tested with a 1000-user simultaneous load. EXPECTED was 60K simultaneous users. . .
However, the only CONCRETE numbers I've found say it crashed at several hundred simultaneous users. . .
Four: Integration issues. The Obamacare Exchange system combines data from numerous agencies and systems, and integrating between them is always a difficult task.
Five: Identity-management. This is in parallel to Integration, somehow all identities need to be federated into a single overarching system.
Twenty-three (now 25) months, even with a top-flight team, would simply not be enough to do this: this is a 5-7 year job. . .
I misread it as "healthcare.gov officialLY resigns". I was about to throw a party.
If you are not allowed to question your government then the government has answered your question.
Isn't the sane thing to do is to shut down the website, grant an extention on the mandate, and then work properley to get the damn thing right? Politics aside whether you agree or disagree with Obamacare as a whole just shut down the damn website and put it back up when its tested and working. Might take a month might take longer but don't rollout a disaster.
I love the how the bureaucrats make these schedules without being the ones staying up all night/all weekend to do the work....
A) No one is suggesting you give $600k. The intent would be to have many people donate a little each.
B) Insurance typically would cover the structure and contents, but not things like lost time or labor. Furthermore, it is likely that they did not own the facility that burned but were simply tenants.
C) Why are you so sure they're going to have another fire later? Do you know something about the first one that you'd care to share with us?
So they finally found their sacrificial lamb? Who-rah...
I got to say, that took a LONG time. Just not as long as the fix is going to take.
Typical political decisions making a bloody mess out of what should have been a simple thing to build. This is why government needs to NOT be doing this kind of thing. Anybody remember the $200 hammer, or the $500 toilet seat from decades past? Well, now instead of just being a feature of the DOD, it's going to be a part of every citizen's life (and many of their deaths) though health care. It's going to be insanely expensive and not work well, if at all. Just like this website project.
"File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
A politically-unimportant official falls on his sword over the failure, and the heavy-hitters claim some kind of ephemeral notion of "accountability" with no actual repercussions for anyone's careers.
Who is surprised?
First, he has CIO on his resume.
Secondly, his Government contacts alone are worth a six figure income.
I see CSC, IBM or some other big outsourcing/Government contracting firm picking him up real fast.
List kids, employment at this guy's level is nothing like ours where a little fuck up makes unemployable.
There was however at least one no bid contract awarded --- it went to a local company: http://www.weeklystandard.com/blogs/avoid-severe-consequences-delays-hhs-awards-no-bid-contracts-marketplaces_754032.html
It's being contested though: http://www.gao.gov/products/D04539
Sphinx of black quartz, judge my vow.
I've been on enough big-bang massive IT projects to know that this is no different from anything we've seen before.
- Ambiguous requirements that aren't settled, and constantly changing (stuff that even "agile" can't account for): This is always a killer. Even an "agile" project can't have the framework ripped down and rebuilt at the last second...some decisions have to be permanent.
- Contractors who just want to collect money : Outsourcing is always more expensive and produces worse results than if you do it in house. The only thing you save is the cost of employees, but you pay more in the long run.
- Entrenched groups who don't want to see it succeed: ERP implementations often fail because the business processes that need to be changed are held up by people or groups that don't want their job changed or automated away, and have powerful friends.
- Massive time pressure: I don't know why software development and IT are so different from engineering projects, but there is still the persistent myth that you can throw bodies at a late project to make it come in on time. You can't do this with a construction project of any reasonable size...there are still dependencies. Yet, there's always pressure to make arbitrary dates.
Seriously, replace "government healthcare insurance marketplace connecting people with thousands of insurers" with "SAP implementation", and you see the same problems.
I can see why they made this guy resign though -- someone has to be the scapegoat. At one of the companies I worked at, the much-loved founder of the company was thrown out by the board (it had grown into a public company) after a massive operations disaster that forced him to go out and publicly apologize. Some of it might have been willful blindness, but executives tend to say "I'm paying millions of dollars, just make this happen and don't bother me with details." Consulting companies love these kind of executives....
one call to Jeff Bezos. Couldn't we have just had Amazon develop and host all this?
If it's this big of a mess just to sign-up for a healthcare plan, imagine how bad it would be if the government was tasked to run all of healthcare as some politicians would like.
I'm sure one of the many contractors they paid 600 million bucks to will take him.
Here's the root of the problem and would explain why Obama, Sebelius, and other bureaucrats are sticking to their guns. They believe that they are smarter than the software engineers charged with building this monstrosity. From my own experience, I once got into a pissing contest with a senior VP over something I had developed for the department. He had no background in software or computers. None. Even though the guy had a Mac on his desk, he didn't understand the concept of windows and insisted on using a single one to view his files opening hundreds of turn-down triangles. Hundreds. But I digress. The guy only understood image, flash, and how things looked. His precious weekly schedules had to look pretty rather than be functional to the point where the secretaries were spending an entire day putting together a weekly schedule in QuarkXPress. So I built a database system (with the assistance of one of the secretaries) to generate these schedules. But the database engine we had available to us, while it could use fancy fonts, didn't understand variable character widths. So printing schedules using dingbats was a nightmare. During a presentation, some flunky asked if we could make some changes. The secretary said "Well I don't know. We're jumping through a lot of hoops to make it do what you're seeing now. I don't know if it's possible." The VP said "It's possible" without even asking me. I nearly quit that day. As a matter of interest, a few of my coworkers and I had a daily reading from The Dilbert Principle.
Point is that Obama and his minions don't understand that you can't set arbitrary deadlines for technology when they know nothing about it. It's the same as ignorant politicians setting lofty fuel economy standards without talking to automotive engineers to find out if the goal is realistic or even possible. The politicians believe their own hype in that they think they are smarter than the engineers. At the very least. One can also make the case that unrealistic goals aren't set out of ignorance but by design to suit their ideology. E.g. Set a pollution standard bar so high that it either isn't possible or that it's so expensive that nobody will bother and voila, the source of that pollution is gone taking all the benefits (jobs, consumer savings, useful product) with it. To the politician, the ends justify the means because in their mind, the citizenry is too stupid to understand it.
When washed his hands of this mess and walked away.
Brought to you by Carl's Junior.
Wasn't Vista in development under the codename "Longhorn" for like 6 years? I remember it being the butt of vaporware jokes for a long time.
What company would hire that guy after the health site fiasco?
Isn't this ironic? The AI machines behind the elections worked like a charm but the healthcare system is a mess.
That rolling out a large website is a process that has "some glitches" but will turn out fine in the end -- much like raising children apparently.
I keep hearing how great Kentucky's ACA website is. Has anyone looked into getting whoever did that to find out what it would take to configure/adapt it to work for other states?
Assuming that's possible, make a website for each state the fed gov is handling and make healthcare.gov a redirecter to the state specific sites.
Don't try to out wierd me, three-eyes. I get stranger things than you, free with my breakfast cereal. --Zaphod Beeblebr
At least you have the strawman angle covered so we dont have to worry about THAT.
The Federal Govermment should have just mandated ALL states make their own exchange. Every state that has it's own exchange has been fine. Every state that wanted to drag it's feet and stall and do what it could to whine, sat back and just waited. I don't know if there is any plans, but there should be a timeline to get each and every state onto it's own exchange and off the Fed's teet by 2014's enrollment. Consider the money gone, pretend it was another ficticious war that's done and over with and we had no say in it. (I know, hard to imagine.)
Mr. Obama does not want the ACA. He said so on video tape.
He stated numerous times before election as POTUS that we 'want a single payer system but can't get there all at once.'
When you make a 2000+ page law with hundreds of references to regulations "as the secretary (of HHS) determines", it means the total effect of the law is under the control of a political appointee, meaning she bends to POTUS whims and long term desires.
It seems POTUS wants something so complex and disruptive in the ACA, that he then has an easy task of saying "OK, to fix this ACA disaster, we're outlawing all these bad greedy insurance companies and the government will take over all healthcare insurance."
Interesting post from Arbor Networks yesterday...
http://arstechnica.com/security/2013/11/new-denial-of-service-attack-aimed-directly-at-healthcare-gov/
Maybe some healthcare provider who is thankful that he sunk that ship?
We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
3.5 years, nearly a billion dollars (outsourced to Canada) and this is what we get with healthcare.gov. I know you voted for CHANGE with your hearts filled full of HOPE but this is what it looks like when the government takes over 1/6 of the economy. You think it gets any better from here? This is just a taste of what's in store. Welcome to the third world, Obama lovers.
microsoft has found their new chief executive officer!!!
If only there were some simple sentence whose proper understanding could have warded off this disaster.
Something straightforward, like:
The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.
Where could such a simple scroll of Dispel Idiocy be located?
The Obamas are currently billionaires, thanks to all the insider trading their 'blind' trusts are legally allowed to engage in. They have made hundreds of millions from Obamacare alone. You Yanks are so VERY, VERY, VERY thick, you have always allowed your political masters to legally indulge in insider trading, using the excuse that the three branches of your 'government' must be independent of one another.
Let me make this clearer, since the average reader of Slashdot is provably far from bright. The American system is based on ONE principle. That the legal system, president, and 'parliament' do NOT have instantaneous hierarchical power over one another. The CONSTITUTION, on the other hand, is designed to be HIGHER than all three, and all three have the duty of upholding the principles of the constitution. If a court upholds the constitution over the apparent current wishes of the President or the Parliament, this does NOT represent the courts being above Parliament or the President. The point is subtle, and beyond the understanding of most here, but is not hard to understand.
Now this independence of the three branches of government allowed profoundly wicked American politicians to argue from the beginning that no law could be passed restricting the business activities of politicians, if such actions merely exploited knowledge gained from the day to day business of being a politician. In other words, INSIDER TRADING would never ever be a criminal offence if carried out by a serving politician, or a 'retired' President.
America has a long and disgusting history of politicians entering office 'penniless' and leaving office as billionaires (LITERALLY as billionaires). The Obamas gave the IT contracts for Obamacare purely on the basis of their own ability to profit from the project. This isn't in dispute. Democrat sheeple praise this corruption saying "well senior Republicans do exactly the same thing when they are in power", which tells you all you need to know about US politics.
Why do you Yank sheeple even vote? The left serves the exact same masters as the right, and by voting you actually give you ACTIVE support to the system itself. Not voting is an active removal of your approval. In a modern nation, if too many people 'vote' against the current system by refusing to vote, your masters are forced to change the system, against their interests (at least in some small way). This is why your masters work so hard at election time to have a ton of their pathetic showbiz puppets jump around telling you that patriots vote, and 'traitors' don't.
American sheeple are financially ruined and/or imprisoned every day for the 'crime' of having a neighbour with an inside take on some company stock, that allows them to make a small amount of money exploiting that information. At the same time, the most powerful people in America make hundreds of billions over year in blatant acts of insider trading, fully beyond the reach of the law. No other nation in the West is this blatant with its corruption. Obama can take a dump on each and every one of you, and one half of you actually PRAISE him for being a 'hip' 'black' 'dude' simply because he fronts 'YOUR' team. I ask you- is it possible to be any more pathetic? And when Bush III or Clinton II are doing worse to you in a few years hence, you braindead Yanks will be loving them even more.
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I literally just went to the site on seeing this article. It took, as the Computerworld article yesterday said on the benchmarking it had done, about 3-4 sec to get to the home page. Once I told noscript to allow it, I then went to "look at options before signing up" (or whatever it was), and it responded at least as fast as slashdot loads.
So, what is this "still a disaster"? Is the headline writer/OP right up there with Ron Paul, who let a senior campaign staffer *die* last year during the campaign, because he apparently couldn't be bothered to provide healthcare to even his senior staff, nor pay them enough to buy their own...?
mark "enlightened self-interest my ass"
I can guarantee you that any random desktop or server is likely to need far more drivers downloaded and installed to fully function under Windows than any reasonable Linux distribution. Troll begone.
I'm so glad you mentioned the 'single-payer' thing...I don't think it was a 'conspiracy' at all...why need a conspiracy? Obama had just won election and had a majority in both House/Senate...
I completely support socialized medicine (just like how the US has a 'socialist' water system), and I have been freaking out at even the Progressives because no one is talking about the Single Payer system...
But even more than that, I'm at a loss to explain what happened to the **PUBLIC OPTION**
Liberals, Democrats, and news aware others should remember the 2008 Democratic Presidential Primary. It was essentially between Obama and Hillary.
There were debates...Rachel Maddow interviews...Daily Kos blog postings...etc etc etc...ah 2008....
One of the **major** dividing issues, both candidates agreed, was their approach to 'health care reform'
Both wanted to 'socialize' it, but Hillary wanted her more insurance-industry favored (and Romney/Mass approved) 'health exchange' with no public option. Obama differentiated himself precisely because he was in favor of a public option. Obama won....then he won again. Then it went to Congress to make the bill for Obama to sign.
WTF went wrong?
Why wasn't a Public Option included in the original bill, and why is no one talking about it now???
agree or disagree...be you 'libertarian' or actual admitted Republican...I'm not making a point of contention...just asking...anyone...wtf happened to the public option???
Thank you Dave Raggett
Then you are put on a waiting list that might be a year or more till your turn. Also, most of the treatments are bottom of the barrel cheap. I have AS, I would get a NSAD like a triple strength IB Profen (3-3-3). In the states I would get embril ($1500 for box of 4 shots), which halts all progression rather than masking the inflammation.
On top of that the service (other than the wait times) can just plain suck. A girl I know got misdiagnosed with the wrong kind of cancer, out of luck they got a second opinion from a different doctor which probably saved the girls life.
I remember once hearing a vet that worked for a city animal shelter in edmonton saying the stray dogs get better health care then the people.
This is coming from a dual citizen (father is canadian, mother is american).
The notion of profit has to be driven from healthcare because healthcare is a basic, fundamental human right. The ability to pay should not even be considered. A slight 5% raise in taxes would cover everyone by a nautical mile and leave some left over. The notion of profit in healthcare is anathema. Full stop. No one should be making what some doctors are making. It's sick. Pun intended.
Come now, you KNOW nothing is impossible to anyone who doesn't have to do it themselves. . . .
News reports are now saying he refused to sign off on the websites security.
When he wouldn't sign off on the website they went over his head to get a temporary security authorization from his boss, who, despite several warnings about holes throughout the system, didn't seem to have an issue signing off.
So as it turns out he may have been the only competent person there.
Of course that's just my opinion...... you could be wrong!
That seems to fit this situation to a tee.
Trenkle refused to sign off on the security of the website so they were over his head and got his boss to say everything was fine, regardless of reports showing there are still several major holes.
Of course that's just my opinion...... you could be wrong!
Obamacare has NOTHING to do with healthcare. Its about transfering your wealth, to the filthy rich olagarchy, and about getting you under their control.
It's only the perception of reality that it's something you need and required of you, but it's not, and our society has several such illusions.
CREDIT SCORE
ILLUSION: It is a common belief that this is a very important number, and required for you to get anywhere in life, becuase it's required for you to get a loan, and the more loans you get, the higher your credit score, which is a good thing.
FACT: Credit score is nothing but a way for financial institutions to determine how easy it is for them to make money off of you. If you do not use credit; do not have any loans, and simply save your money and pay cash, then you will quickly realize that the credit score will have ZERO impact on your life.
- Affordable Heathcare Act - an extremely complex law that is very hard to comprehend. The bill itself is huge but the resulting regulations have been estimated to take 33,000 pages to print out! There are over 9,000 regulations, each requiring multiple pages to document.
- Government outsourced to Canadian vendor who has track history of major IT problems in the past with the Canadian government but whose executives are friends with the Obama's
- No Bid / No Limit Contract - meaning no competition to win the contract and no spending limit while government reserves the right to make changes on the fly and still pay for everything
- Started two years too late to get the project started because they were still working out understanding the AHA rules and regulations and many of those regulations were still going through re-writes and changes.
- Once the business requirements were actually in the hands of developers the government was apparently in charge of project management but no one doing the project management had any experience in the matter yet pulled down six figure salaries and GI benefits!
- There would be weekly changes to said requirements
- No oversight committee of IT system architects, no beautiful vision of how it would all come together
- Add more contractor companies who built different pieces independently of each other (account registration / creation, etc.)
- Need to interface with 20 different outside systems from the IRS, Credit Bureaus, Insurance Companies, and a boat load of government departments, etc.
- Add enormous red tape to get anything accomplished
- Forget the Military Industrial Complex what you had here was an outsourced IT Industrial Complex sucking money out of Uncle Sam and ultimately tax payers pockets while not delivering a functional system
- Zero testing of individually developed portions. Seems they just slapped it together and threw the Go Live switch.
- Zero security testing (this ought to be fun once the system is populated with juicy private identity data) McAfee was right, it's a hackers wet dream
- Rehire the exact same Canadian firm that messed up to fix the broken system
- Hire super brains to come in and look at the system, "Excuse me while I cash this check first. Hmmm, let's see here... Yep, you're F*cked! Might as well start over from the beginning! You have a steaming pile of useless code and architecture that I am surprised even ran without crashing! Which way is the door, I am done here!"
- CIO of MMS "I am so out of here! Pay me my contract, I quit!" - Walks away with likely millions in golden parachute. Goes and gets another job in the private sector. He'll be employed in 6 months. CIO's are not directly involved they have a 1,000 IT staffers reporting beneath them. Yet they are where the buck stops and he should have been raising cain a whole lot sooner. Maybe he did and he was ignored... Never know the truth...
Who is at fault? (We all are)
1. The POTUS
2. The Democrats (not one single Republican voted for it nor worked on it) they own this one
3. The voters who re-elected the POTUS and said Democrats (the true believers who believed the lies)
4. Kathleen Sebelius
5. The GOP who made Romney the choice for the ticket
6. The Conservative voters who failed to turn out to vote because Romney was a social liberal Mormon
7. Whoever thought it was a good idea to have so much business logic in the client side JavaScript while it waited on backend system responses...
This would have never happened in the private sector and if it did, it would have been killed a heck of a lot sooner and re-done or the project would be permanently abandoned.
Honestly, it seems it was all designed to fail and collapse. So that white horse of socialized medicine can ride up and deliver death to the people in new and interesting ways. That may have been the plan all along but I know better, it's not the plan. It was pure incompetence on the part of everyone involved. No government IT system succeeds on the first go around. Not one...
about 30%-40% of the country is actively doing everything in their power to stop it. We've got entire states where the leadership there is outright flaunting federal law. The sad thing is it tends to be the states with the most people in need of help, where the 'leadership' did everything they could to prevent their constituents from getting that help...
Hi! I make Firefox Plug-ins. Check 'em out @ https://addons.mozilla.org/en-US/firefox/addon/youtube-mp3-podcaster/
So was it the Dem's in Congress who didn't want it? Or was it Obama?
It seems to me you're putting the blame on Obama for something Dem's in Congress caved on...
You're telling me, if the Dem's in Congress had passed ACA with a "public option" that Obama would have **vetoed** it??? I don't buy it...
It's more likely that **Obama** wanted the "public option" but the Dem's in Congress (like the pussies they are) caved and tried to be "bipartisan" with the GOP...to their failure...
Back to GP's conspiracy theory....NO Obama did not *want* the ACA to fail...but he knew it would without a public option...that doesn't mean he **wants** it to fail...
It's like a just a dumb drunk friend at a party. He wants to jump over the bonfire....you warn him it's too far to jump but he won't listen....he's too drunk to physically restrain w/o a scuffle, so you warn him and let physics take its course. Did you **want** your drunk buddy to fall in the fire? NO...you tried your best to prevent it....but you still **videotape his attempt on your phone!!!** that doesn't mean you **made** him fall in the fire!
Obama can't phsyically forces Dem's in Congress to have a spine and be professional...and he can't trash the shitty version of the ACA that they passed either...
Thank you Dave Raggett
Do you feel smart because you used 'straw man' incorrectly? Never mind not being able to spell it correctly. (Hint: to begin with I'd have to have been be trying to oppose his argument.)
-- I ignore anonymous replies to my comments and postings.
Exactly. And it is far worse than that. A lot of what will result as the Affordable Care Act is not decided in the law, but depends on someone or agency submitting a report. Search for the words "shall submit" using the Edit > Search feature in Adobe Acrobat. There are at least 149 requirements to submit a report!!!
The acronym "MTM" is defined on page 1,056 as "medication management". Begin reading on that page, for example, to realize the enormity of what is not yet defined just in that area.
The Certified Full-Text Version: Affordable Care Act (PDF - 4.27 MB) is 2,409 pages of italics. A student who wrote so poorly would get a failing grade. Why such a mess? Maybe those who wrote it don't want taxpayers to read it.
Here are just 50 of the 149 instances of the phrase "shall submit":
plan shall submit claims for reim5 bursement to the Secretary which shall contain 6 documentation
Labor, shall submit a report to the appropriate 10 committees of Congress concerningâ" 11"(
Secretary shall submit a report to the 15 appropriate committees of Congress containing a 16
shall submit to Congress, within the 15-day pel5 riod beginning on the date
shall submit to the appropriate committees of 21 Congress a report on the study
Exchange shall submit the information 25 provided by an applicant under subsection
Secretary shall submit to the Commissioner 6 of Social Security the following information for 7
Secretary shall submit to the Secretary 7 of Homeland Security the information de8 scribed in
Secretary shall submit 3 the information described in subsection (b)(3)(A) pro4 vided
State shall submit a re25 port to the Secretary
Services shall submit a report to 24 the appropriate committees of Congress on the total
State shall submit to the Sec24 retary for the Secretary's approval the
shall submit to Congress and make available 19 to the public an interim report
shall submit to Congress and make available 24 to the public a final report
shall submit a report to Congress on the results of the 11 demonstration project.
Secretary shall submit to Congress a report con2 taining the results of the evaluation and
section shall submit 6 to the Secretary an application at such time, in such man7
shall submit to the Secretary, at such time and in 10 such format as
Secretary shall submit to Congress and make 14 available to the public a report on
and shall submit with any
State shall submit to the Secretary, in such form and 3 manner as the Secretary
entity shall submit 3 a report to the Secretary demonstrating improve4 ments (if any)
section shall submit an applical5 tion to the Secretary for approval, in such manner as
Secretary shall submit a report to Congress on the 3 results of the evaluation conducted
Secretary shall submit
States shall submit to Congress 19 an interim report containing the results of 20 the
States shall submit to Congress a re4 HR 3590 EAS/PP port containing the results
ices shall submit to Congress a report containing 10 the results of the study conducted
hospital shall submit to the 18 Secretary data on quality measures specified 19 under subparagraph
facility shall submit to the 22 Secretary data on quality measures specified 23 under subparagraph
program shall submit to the Sec4 retary data on quality measures specified under 5 subparagraph
v) shall submit data 15 to the Secretary in accordance with paragraph (2) 16
section shall submit to the Sec20 retary data on quality measures specified under 21 paragraph
Secretary shall submit to Congress 18 a report containing the plan developed under paral9 graph
Secretary shall submit to Congress 11 a report containing the plan developed under paral2 graph
Secretary shall submit to Congress a report con3 taining the results of the study conduct
MOD PARENT UP! See my comment above for more details about the incompetence.
...so tell me again about your last project, and what steps did you take to complete it successfully?
There are 2 groups of people you can make fun of on the Internet without fear of attack. The illiterate, and the Amish.
This attempt at rolling out ObamaCare is tantamount to eating a full-grown elephant in one big bite! These folks have no clue what they are doing. And the personnel responsible for the actual coding are hardly to blame. They were told to create a web portal that would allow customer's to shop for health insurance. Quite literally at the 11th hour, our Leader changed the game completely on them! Instead of the site having the task of helping customer's find insurance, it was converted in an information gathering site. And only after all the personal information is collected, are the customers even allowed to reach the information they need to make a decision on their healthcare. This is NOT about Healthcare, it is about controlling a population! If it wasn't so obvious this law has hidden agenda's before its rollout there can be no doubt now. And there will be no delay in the implementation, because the President cannot allow this rollout to stop, or even slow down. If he delays it, he opens the door for others to demand delays as well. As long as the schedule remains untouched the other side cannot change it either. The country now knows for certain that he has been lying to them from the very beginning. And no one has gotten incensed enough to call for the President's resignation publicly, so there is no reason for the President to tell the truth about anything for the rest of his term. The President and his political cronies think we are all too stupid to be living in the first place. Millions of people were paying for their healthcare, with the policies that fulfilled their needs, as far as they were concerned. So, what does the ACA do? It makes all those policies obsolete by regulating them out of existence! Then our Liar-in-Chief tries to blame the dastardly Insurance companies for cancelling the coverage, when his own regulations made keeping those policies impossible, and he knew that was true, because that was a very important part of his plan in the first place. No insurance company would REQUIRE a late-twenties Male customer to include maternity care in an individual policy. It takes the Government to do something that stupid and unfair.
Exactly who, that knows anything about computers, web security, networking, etc. would place their private, personal, information in this system? The web portal is the tip of the iceberg. Based on what we seen so far why would anyone have any expectation that any information they place on this site, will remain private? Just go put it up on Facebook and save everyone the trouble! Just go print out all the information required on the ACA web site, and post it on the bulletin board of your local Walmart, the odds of it remaining private are the same. This disaster is just getting started! For those that cannot afford to privately "retain" a Doctor in the same manner as people and corporations retain attorneys, will all suffer in multiple ways. Their healthcare is headed for the dumpster. They may not be able to even keep their family doctor, even if he is the most knowledgeable person in the world regarding their physical and mental health! It remains to be seen if you can even keep your Pharmacist, or go to the closest Hospital when hospital care is called for. Regular hard-working, tax-contributing, Americans are going to get continually hurt by this badly thought-out, ill-conceived and executed, piece of legislation. And the only reason for that is one person's ego. Any other reasonable person sitting in the Oval Office who didn't have an axe to grind with the majority of Americans would have halted this whole rollout until the whole program itself could be completed, secured, and tested exhaustively.
I am wondering if Trenkle's move to the private sector would be to a Republican Thinktank that helped orchestrate the failure of the roll out This fiasco is fertile ground for conspiracy theories How can you NOT KNOW about security holes and bad programming, unless you are getting paid to install them or overlook them?