Mr. Capron is correct. I spent 15+ years in the medical IT industry. I sat on a HIPAA commitee in 1995 helping design, from a vendor's standpoint, standardized medical records and electronic insurance claims.
I retired in 1999. Here we are, 18 or so years later and much of what that committee designed has never been implemented. Probably never will because the people running the show don't have the requisite knowledge.
IMHO, nobamacare will collapse under it's own weight. Of course folks say that collapse will lead to a single payer system. I doubt the "powers that be" have the intelligence to design a single payer system that will work. Given Mr. Capron's excellent analysis above, do you?
Overall, I feel the American healthcare system will never, ever recover from this. Unless, of course, nobamacare is overturned and all the work done by HHS is reversed and/or thrown away.
When the systems collapses, it is essentially - fixed.....................
". . . All legal requirements at the local, state, and federal level have to be met by the design [when it ever gets started].
"Staffing up for customer support which requires hiring, training on applications not yet designed and real world tested, the creation of support documentation, building or retrofitting facilities for these folks, setting up backup sites for the required redundancies, plus hardening the sites for natural disaster power failures. Additionally, the people hired must meet the Equal Opportunity criteria, and all GUIs must be handicapped usable, as well as the facilities themselves…"
I think DP has a phrase nowadays, "Death March," to describe projects that must get nine women to have that baby in one month.
I always believed that Ross Perot was in the Clinton presidential races in exchange for him getting the Hillarycare DP contracts.
And this is for relatively easy program.
The Affordable Healthcare Act and its mandated standardized medical records and its need to smoothly integrate itself with insurance companies and the IRS will be nothing short of a huge gigantic mess.
If they had this thing already built and ready to implement right now it would take at least two years to go through just the beginning stages of testing.
It might be safe to say that Obama will be outdone by his very own incompetence.
Nightmare is right. I am an IT Project Manager for one of the largest Health Insurance companies in the U.S. As of today, our estimates to implement the ObamaCare mandates stand at $250 million. That’s up from $240m last week, by the way.
Time to code, time to perform multiple iterations of testing to make sure there are no bugs which will leave us vulnerable to substantial fines? Please. HHS hasn’t solidified all the rules that have to feed into my programming yet, and I have to be ready to enroll and process new members by 10/1 and new claims by 1/1/14.
It pretty much makes me sick to walk into work these days.
When they start publishing 800 numbers for that it will be time to flood them with nonsense calls.
These systems would be a perfect target for civil disobedience and sabotage. Cloward-Piven needs to be used against these Leftist programs.
I know that it is conventional wisdom that the failure of 0-care would lead to single payer. But, if 0-care fails, a single payer system would be even more difficult to implement because of the explosive costs. Just passage of a single payer system would sink the US credit rating, raise interest rates and implode the dollar.
All they need is to make doctors take EBT cards for payment and have accurate lists from the AMA about who is licensed to practice medicine so they know who to throw in jail if they refuse to take the cards.
I mean, who cares about the other stupid medical records paperwork, right? It's all about getting freeeee stuff to the people in time for the next election. /s