The ACP Advocate Blog
by Bob Doherty
Friday, October 11, 2013
Failed Technology, not Congress, Is the Biggest Threat to Obamacare
Remember when House Republicans were insisting that they would not agree to re-open the federal government unless Obamacare was defunded or delayed? Well, that was then, this is now. Ten days into a partial government shutdown that was caused by the GOP-controlled House passing a funding extension that also delayed Obamacare, and just a week from when the Treasury Department says that the debt ceiling will be breached, the GOP leadership seemingly has dropped changes in Obamacare from its list of demands.
Instead, as Roll Call’s David Hawkin’s notes, House Budget Chairman Paul D. Ryan has, “come out with a roster of proposals on which he thinks both sides can come to agreement — and none of them has anything to do with limiting or altering Obamacare.” Politico reports that, “The emerging House GOP plan would come with some conditions, although not the kind of sweeping demands to defund or repeal Obamacare. Republicans would vote to lift the debt ceiling until Nov. 22 — just before Thanksgiving — while prohibiting the Treasury Department from using extraordinary measures to lift the borrowing limit. Boehner said Republicans would also demand a formal House-Senate conference on larger budget issues, a process Senate Republicans have been blocking since their Democratic counterparts approved a budget resolution earlier this year.”
It remains unclear if the House leadership would be able to get restive Tea Party conservatives behind such a temporary increase in the debt ceiling without requiring other cuts and/or changes in the Affordable Care Act, or whether President Obama and Senate Democrats will agree to it. And a temporary increase in the debt ceiling would not end the government shutdown itself—the House, Senate, and White House would still need to come up with a bill to restore funding to federal agencies, and Senate Majority Leader Harry Reid (D-NV) reaffirmed today that the Senate will not negotiate with Republicans until they re-open the government. But a temporary debt ceiling would (for now) avert the economic calamity that would occur if the U.S. Treasury can no longer borrow money after October 17.
So it is looking now like the GOP fight to use the debt ceiling and the shutdown as leverage to delay Obamacare will end not with a bang, but a whimper, paraphrasing T.S. Elliot. That the GOP lost the fight to defund or delay Obamacare was entirely predictable: they never had the votes. As John McCain told CNN’s Wolf Blitzer last night, “We started this on a fool’s errand, convincing so many millions of Americans and our supporters that we could defund Obamacare…[That] obviously wouldn’t happen until we had 67 Republican senators to override a presidential veto.”
So Obamacare will survive the current effort to kill it in Congress, just as it survived the Supreme Court and two elections. Now, Obamacare’s biggest obstacle may be itself: the technical infrastructure that has performed so poorly in its first ten days that millions of people have been frustrated in their efforts to access information through the government’s enrollment website, www.healthcare.gov. The New York Times reported that, “The technical problems that have hampered enrollment in the online health insurance exchanges resulted from the failure of a major software component, designed by private contractors, that crashed under the weight of millions of users last week. ” Time magazine reports that if the problems persist into November, then, “the health law’s future could be imperiled, according to a former high-ranking health care official … ‘By November—certainly the middle of November—the sites have to be able to handle major traffic for people to be able to set up accounts and purchase coverage,’ says Joel Ario, who served as director of the Office of Health Insurance Exchanges at the U.S. Department of Health & Human Services (HHS) from August 2010 to September 2011. ”
So the biggest threat to Obamacare is not the Republicans in Congress, or even the Republicans in states that are resisting it—it is the administration’s own failure so far to fix what Time rightly calls “crippling computer glitches” that are frustrating the people who are trying to buy coverage. The administration says that things are getting better day by day, as it has increased server capacity and fixed other “bugs” in the system. Maybe they are, and I certainly hope so. But until they can show that the system is working reliably and consistently, the Affordable Care Act is at risk, and for this, the administration has no one to blame but itself.
Today’s questions: What do you think of congressional Republicans apparently giving up on their efforts to defund or delay the Affordable Care Act? And of the technical problems plaguing Obamacare enrollment?
About the Author
Bob Doherty is Senior Vice President, American College of Physicians Government Affairs and Public Policy; Author of the ACP Advocate Blog
Email Bob Doherty: TheACPAdvocateblog@acponline.org.Follow @BobDohertyACP
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