I am opposed to ACA on both philosophical and practical grounds. I think it's a terrible plan in which the negative consequences far outweigh the positives. That being said, the bad rollout is only a reason to chuckle at the incompetence of the people in charge, not a reason in and of itself to oppose the bill. Opponents should not be focusing on the technical failures, which ultimately will be fixed. Instead they should be focusing on the increased costs, and failure to achieve nearly any of the stated and promised goals of the plan.
Dozens of free-market based reforms have been bandied about and while they will never have the appeal that subsidies and free care will have, they need to be a part of any argument against this enormous boondoggle.
Of all of the bad things in the ACA, the exchanges are probably the least objectionable. I have no problem in letting insurers and customers get together on a government-sponsored website. I do wonder if it is a good idea why hadn't it happened in the free market, but I don't have a problem with it if it helps.
I think it is also very strange that Obama, who unilaterally, and perhaps unconstitutionally, simply delayed the employer mandate without congrtessional approval would not do something similar with this, when he seems to have been given ample warning that a fiasco was coming. In fact, he probably could have used delaying this as some sort of bargaining chip in dealing with the house.
I will add though that even if you think the ACA is a good idea, that the website problems do illustrate what an enormous, complicated program this is, and the government, with how they handle most programs, may not be equipped to run such an enormous, complicated program in any sort of efficient manner.
This is where I am. Not too many government run programs that I have experience with has been run very well. This roll out was just the first measurable objective, and it would be hard to imagine it being a bigger failure than it is. I can't seem to gain the confidence that even though this part didn't go smooth, everything else from here on out will be successful.
At the same time that the ACA website was failing, Rockstar games tried to launch GTA Online. It was a total failure. Yet nobody tried to opine about what that means about the institutional competence of private companies. The federal government runs any number of absurdly complex information systems. The NSA's data mining program is the most extensive in the world.
This is an embarrassing failure the federal government. They deserve to take plenty of heat about it. But anyone who decides it's illustrative of any greater truth about the organizational competencies of the public and private sector is simply cherry picking an incident to confirm his or her previously established narrative. Major projects in the private and public sectors are often poorly run. Sometimes, they are well run.
Point taken.
Three thoughts:
1) In my opinion, in general, and this does not apply to everyone, there are more skilled, smarter people in the private sector than in the government because they can make more money in the private sector than they can working for the government. This leads me to believe that the private sector is better equipped to handle big, complicated projects. This will not be true in all cases, as you indicate, but in general, I think it applies.
2) Government programs have to, at times, factor in political considerations that the private sector does not. For instance, I have read that one of the problems with the ACA website was that they decided to have you figure out if you qualified for subsidies prior to you seeing the potential costs so that you wouldn't get sticker shock and dislike the program from the get go. This change was made late and made it much more complicated to log-in on the front end. This might not have been done if it was a private sector program.
3) Even if you think my first two points are wrong, is it possible that the ACA is so enormous and complicated that it would be impossible for ANYONE, governmental or private, to run it in an efficient manner?
Just my thoughts.