The headline is very misleading. It makes it sound like the states are doing a good thing by climbing in bed with the Feds. Instead, the states are saying, “We don’t want to get involved. You do it.”
This project will be an IT nightmare. The Feds have been trying since the mid 90s to get a nationwide medical records database set up. Haven’t been able to do it yet. And they think they can do this exchange thing? What a laffer!
Even on the state level they are clueless. I had a relative who submitted some sort rebate for installing a high-efficiency appliance or window. They manged to keep part of that database on a Unencrypted laptop and promptly lost it. Thousand of names, addresses, SSN, etc. were lost. Oops.
We got a notice that certain info had to be sent to our employees about the exchanges, sorry “market places” by March 1.
I was pretty confused since there are no exchanges. Next day I got a notice to disregard the first notice.
There is no way exchanges will be set up by the end of the year. Too complicated to do..and we all know competent the Feds are.
I just read an article about pre-x funding that was supposed to be a “tide over” until 2014 when the insurance companies are going to be forced to take over...ran dry of funds and are accepting no new applicants,
The states, if they are wise, will steer clear of this monstosity.
“And they think they can do this exchange thing? What a laffer!”
Overall, what kinds of computers and software are the feds running, in your opinion?
Are they still using floppy disks?
Are TRS-80s or Compaqs still sitting on bureaucrat desks?
Just trying to get a sense of what century the feds are in.