Friday, November 29, 2013

The Flop


On November 14, six weeks after the failed launch of HealthCare.gov, the federal government’s insurance marketplace website and the public face of the endlessly contested Affordable Care Act, President Obama stood behind a podium at the White House and offered a mea culpa that was anything but. True, he did repeat “that’s on me” and “that’s on us” when he wasn’t invoking jocular sports metaphors (“we fumbled the rollout on this health care law”), but he also said this:
I was not informed directly that the website would not be working the way it was supposed to. Had I been informed, I wouldn’t be going out saying, boy, this is going to be great. I’m accused of a lot of things, but I don’t think I’m stupid enough to go around saying, this is going to be like shopping on Amazon or Travelocity a week before the website opens if I thought that it wasn’t going to work.
And so we are left to wonder how it was that the president not only had not been informed (note the passive construction), but how it was that he did not make it a point to be informed, not merely because he is the president and that’s his job, not merely because he has made health care the legislative priority of his administration, not merely because affordable health care is the hook on which he hopes to hang his presidential legacy, and not merely because the Republicans have been trying to thwart him at every turn, but because of all of these. Knowing how sensitive Americans are to the shortcomings of big government should have made Obama especially vigilant to the disasters ahead if his administration botched HealthCare.gov. On November 19, his spokesman, Jay Carney, admitted that the president had in fact been briefed in April about the danger that the website would fail when it was launched in October. His carelessness will be a good place for historians to begin to unwrap the enigma of a president who appears to run the country on a need-to-know basis, ceding what needs to be known to other people. (...)

“There aren’t a lot of websites out there that have to help people compare their possible insurance options, verify income to find out what kind of tax credits they might get, communicate with those insurance companies so they can purchase, make sure that all of it’s verified,” the president said in that November news conference. He then suggested that such a task was too difficult for the same government that, for instance, has designed the greatest online data-mining surveillance apparatus in the world: “The federal government does a lot of things really well. One of the things it does not do well is information technology procurement.”

Even so, there are many successful computer systems and websites both within the government (the Defense Logistics Agency comes to mind) and outside of it (Amazon, Google, Kayak) whose complex gearing is housed behind a simple interface. Businesses know that they’ve got five seconds of a user’s attention before that potential customer moves on—it’s what drives them to make the navigation of their websites as easy as possible. Since its launch, HealthCare.gov has often exceeded this by over 3,600 seconds due to software glitches, log-in overload, and a user experience that is remarkably cumbersome: it requires people first to set up an account that includes divulging personal information and having it verified by the Department of Homeland Security, the Internal Revenue Service, and the Social Security Administration before they can see how much it will cost to buy insurance. Imagine having to prove your income and residence and employment status before being able to look for—let alone buy—a pair of pants on Amazon.

by Sue Halpern, NY Review of Books | Read more:
Image: uncredited