Accountability
I'm sorry it has been several days since I have written. Maybe that's a good thing, that nothing glaring has caused me to turn to the keyboard. I just read an article though and while it isn't the subject of this post it did cause me to think about some events last week. The Affordable Care Act is in full swing now apparently, despite unofficially dismal numbers with respect to the number of people who have signed up for new policies using the system as it was envisioned. C-SPAN or CNBC or one of the other networks was showing the testimony of Health and Human Services Secretary Sebelius last week while I was at the gym and I couldn't help but turn my attention to aspects of her testimony. There was one critical aspect of it that I did respect and I will revisit that theme of accountability in a moment.
I was disturbed by the Secretary's testimony regarding the lack of testing and the poor assumptions that were made by the Department with respect to how people would access their new system. The lack of professionalism that surrounded this roll out was really distressing. Incompetence is probably the best way to describe it. The best comparison in the business world, where accountability does matter, that I can draw to mind involves the roll out of a new operating system at Apple and the poor response to their new navigation app.
The app was poorly designed and riddled with software glitches and bugs, sound familiar? The result of that poor effort was that Richard Williamson, Vice President of iOS Platform Services, was let go by Apple. Sadly the public interest in that failure was probably greater than it is wit respect to the healthcare system, but that's a subject for another blog.
Where is the accountability? I appreciate that Sebelius ultimately shouldered the blame for the failures of her department but why did this happen in the first place? Did they think no one would notice?
This brings me to my next point, still on the topic of accountability. We also learned this past week that people who are perfectly happy with their insurance coverage are having their policies cancelled despite promises that they could keep their coverage when this program was originally being debated. I was disappointed that President Obama did not take responsibility for this, instead choosing to blame these issues and cancellations on the insurance companies. It is very difficult to respect someone that cannot take the blame for things that happen on their watch. This has been a recurring (and disgusting) theme with this administration, an overwhelming aversion to being responsible for anything bad that has happened in the last 5 years. I can sit here and write about several instances where this is the case but I would rather go and brush my teeth to get this foul taste out of my mouth...










