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Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

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Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#61
post #17
post #14

Earlier quoted context omitted.

Rule #1: Gentlemen, you can't fight in here! This is the war room!

I wonder how many readers will recognize this famous quotation and its source. (long pause ...) http://en.wikipedia.org/wiki/Dr._Strangelove

A lot, I hope! Strangelove is pretty well known for the most part across the internet. Fantastic movie

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#62

Earlier quoted context omitted.

>It hit me then that while ideas may have value, the implementation usurps all of it. An idea alone is powerful, but once it's implemented the idea becomes worthless. You need both. Implementation people aren't all that useful without a vision. A vision isn't all that useful without implementation. It's a symbiotic relationship. Steve Jobs without a Steve Wozniak probably wouldn't have been as successful. Steve Wozni…

> You need both. Implementation people aren't all that useful without a vision. A vision isn't all that useful without implementation. It's a symbiotic relationship. 37signals' take on this was the best one I've seen (paraphrased): Ideas are a multiplier. If your execution is good, a good idea will multiply that. If your execution is minimal, a good idea will scrape by. If your execution is abyssal, a good idea will…

Derek Sivers talks about this idea as well: http://sivers.org/multiply

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#63

I've been working on healthcare.gov for the last few months alongside a bunch of other Google, Facebook, and Y Combinator alums. I'll always remember what Mikey told us in December, after the site was back up, could handle a non-trivial amount of traffic, and people who wanted health insurance could finally get it: "1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're d…

Why isn't it open source like it was before?

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#64
post #41

I've been working on healthcare.gov for the last few months alongside a bunch of other Google, Facebook, and Y Combinator alums. I'll always remember what Mikey told us in December, after the site was back up, could handle a non-trivial amount of traffic, and people who wanted health insurance could finally get it: "1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're d…

"1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're doing here, 5,000-10,000 people will live to see the end of 2014. You should be proud of what you've done, but we should also all be grateful to have this opportunity." Hospitals don't let uninsured people die and insuring people doesn't magically save their lives.

You're talking about EMTALA, which is an act that prohibits turning away uninsured patients away who are in need of emergent care. Once the patient is stabilized and either discharged or admitted, they are subject to payments.

The patient with metastatic cancer who needs chemoradiation on an outpatient basis must pay for his/her care.

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#65
post #2

HealthCare.gov is definitely NOT fixed or "revived" yet. I was trying to register for healthcare for the Feb 15th deadline and there were errors after errors. At the end, after hours of trying and waiting on hold for the tech help-line, I was not able to register at all and missed the deadline. The help-line's answer was, we are still working out the kinks, please print out the PDF and fill it out manually. It's stil…

Yep, in spite of the progress made since October (when the site was entirely down for days at a time), there are absolutely still problems.

I also see you're a YC alum! If you're interested in helping out, or just to provide an error report on the problem you encountered, email me at brandon@hcgov.us.

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#66
post #56
post #41

Earlier quoted context omitted.

"1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're doing here, 5,000-10,000 people will live to see the end of 2014. You should be proud of what you've done, but we should also all be grateful to have this opportunity." Hospitals don't let uninsured people die and insuring people doesn't magically save their lives.

Hospitals do "let" uninsured people die because they are not obligated to provide the full extent of their care capabilities to people who cannot afford it. Come in with a hole in your abdomen, and for sure they'll patch you up even if you don't have insurance. Come in riddled with cancer? Don't expect the same as they would give somebody who could pay themselves or had insurance. This said, it is still a shoddy use…

Yes, I meant to say 1 in 1000 uninsured people die each year in ways that could be prevented by insurance coverage. Here's an article that references a few of the reports: http://www.reuters.com/article/2012/06/20/us-usa-healthcare-...

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#67
post #41

Earlier quoted context omitted.

"1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're doing here, 5,000-10,000 people will live to see the end of 2014. You should be proud of what you've done, but we should also all be grateful to have this opportunity." Hospitals don't let uninsured people die and insuring people doesn't magically save their lives.

> Hospitals don't let uninsured people die and insuring people doesn't magically save their lives. Not sure where you're getting this. A quick Google Scholar or PubMed search shows a consensus that mortality rate is significantly higher for uninsured than for insured. [1, 2, 3] [1] e.g. http://jpubhealth.oxfordjournals.org/content/32/2/236.short -- On multivariate analysis, uninsured compared with insured patients ha…

>mortality rate is significantly higher for uninsured than for insured.

correlation doesn't mean causation.

>to help make our government work better

i somehow doubt that throwing a team of "rockstars" to clean up the mess is making the government to work better. If anything, it enables the typical government behavior we saw in the case of healthcare.gov.

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#68

I've been working on healthcare.gov for the last few months alongside a bunch of other Google, Facebook, and Y Combinator alums. I'll always remember what Mikey told us in December, after the site was back up, could handle a non-trivial amount of traffic, and people who wanted health insurance could finally get it: "1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're d…

What if you'd like to help out but aren't an anointed™ one?

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#69
post #67

Earlier quoted context omitted.

> Hospitals don't let uninsured people die and insuring people doesn't magically save their lives. Not sure where you're getting this. A quick Google Scholar or PubMed search shows a consensus that mortality rate is significantly higher for uninsured than for insured. [1, 2, 3] [1] e.g. http://jpubhealth.oxfordjournals.org/content/32/2/236.short -- On multivariate analysis, uninsured compared with insured patients ha…

>mortality rate is significantly higher for uninsured than for insured. correlation doesn't mean causation. >to help make our government work better i somehow doubt that throwing a team of "rockstars" to clean up the mess is making the government to work better. If anything, it enables the typical government behavior we saw in the case of healthcare.gov.

Many people believe that the Oregon Health Study is the best chance we have of teasing causation out of the data. It is still in progress but it is being watched closely. http://oregonhealthstudy.org/

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#70
post #68

I've been working on healthcare.gov for the last few months alongside a bunch of other Google, Facebook, and Y Combinator alums. I'll always remember what Mikey told us in December, after the site was back up, could handle a non-trivial amount of traffic, and people who wanted health insurance could finally get it: "1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're d…

What if you'd like to help out but aren't an anointed™ one?

+1

Haven't worked at Google, Facebook, whatever, but would love to help.

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