Healthcare.gov and the Gulf Between Planning and Reality

An anonymous reader writes in with this excerpt from Shirky.com. "The idea that 'failure is not an option' is a fantasy version of how non-engineers should motivate engineers. That sentiment was invented by a screenwriter, riffing on an after-the-fact observation about Apollo 13; no one said it at the time. (If you ever say it, wash your mouth out with soap. If anyone ever says it to you, run.) Even NASA's vaunted moonshot, so often referred to as the best of government innovation, tested with dozens of unmanned missions first, several of which failed outright. Failure is always an option. Engineers work as hard as they do because they understand the risk of failure. And for anything it might have meant in its screenplay version, here that sentiment means the opposite; the unnamed executives were saying 'Addressing the possibility of failure is not an option.' ... Healthcare.gov was unable to complete even a thousand enrollments a day at launch, and for weeks afterwards. As we now know, programmers, stakeholders, and testers all expressed reservations about Healthcare.gov's ability to do what it was supposed to do. Yet no one who understood the problems was able to tell the President. Worse, every senior political figure—every one—who could have bridged the gap between knowledgeable employees and the President decided not to. And so it was that, even on launch day, the President was allowed to make things worse for himself and his signature program by bragging about the already-failing site and inviting people to log in and use something that mostly wouldn't work. Whatever happens to government procurement or hiring (and we should all hope those things get better) a culture that prefers deluding the boss over delivering bad news isn't well equipped to try new things.'"

Comments

Re:Following the Will of Their Voters

[Shakrai]

would rightfully get them primaried in the next election?

And therein lies the problem. Primary elections are the "true" election in most Congressional districts (Democrat and Republican), thanks to gerrymandering. Primary elections are universally low turnout affairs that are dominated by the true believers, the types that get all of their news from MSNBC or Fox, who are least inclined to seek accommodation with the other side. The consequence of this is that we end up with hyper-partisan hacks that don't even represent the mainstream of their gerrymandered district, much less the country as a whole.

I'm not blaming the GOP, the exact same thing happens in gerrymandered blue districts. Nancy Pelosi doesn't represent the mainstream of the Democratic party, much less the United States, yet she is the voice of the Democrats in the house.

I don't know what the solution is. Some will argue that we need a third party, but that's no guarantee of a different result. Indeed, it makes it possible for the same hyper-partisan hacks to win as before, only now they'll have won with 40% of the vote instead of 50.1%. My hometown (Binghamton, NY) ended up with a left-wing asshole as Mayor, who won two three-way elections, and pushed his asinine left-wing agenda despite 60% of the city voting against him. (Hint for Matthew Ryan if your egotistical self finds this post with a Google search: People don't vote for Mayor to make statements about the Iraq War, they vote for him to fix the fucking potholes, keep the parks clean, and to try and attract employers to the area)

Re:Where was the Press?

[UnknowingFool]

Had people all worked into a frenzy that power plants and other equipment wouldn't work on 1/1/00.

Things wouldn't have worked if they didn't fix them. That's like saying there's all this frenzy about vaccines. [sarcam] I mean polio and measles aren't that bad since no one I know is affected by them. [/sarcasm]. The problem is that when something works well and avoids a disaster some people think it wasn't necessary. For many years, FEMA did a good job at disaster recovery until Katrina hit. Then the country saw the effects of a poorly run government agency and why putting someone competent in charge matters.