How many people would that 634 million insure?
At $500 a month, that's $6,000 a year
or over 105,000 people for a year.

You keep looking at it like it's a website. It's not.

The health department was tasked with coming up with an entirely new system based on a new law which had to be compatible with multiple US government systems, every healthcare provider in the US, every hospital and every doctor's office, AND every citizen in the US. (Don't tell me it doesn't; Every doctor has to talk to every hospital and every healthcare provide who has to talk to the US government... My wife's office not only had to upgrade all of their computers, as did their healthcare provider.)

But before they wrote a single piece of html code, before they even had a discussion about protocols, they had to have a long legal discussion... Every state has strict laws about how to handle healthcare information, and all of them are different - so before anything was done they had to figure out how to legally work it. And everyone involved that discussion had to have background checks (you already how that shit works), hundreds or even thousands of people flying around to meetings with different state attorney's offices, healthcare providers, flights, meals, hotels... All before a single bit code was written.

Yeah, I can see $90 million in a heartbeat.

i would wager that the real # is still obscene. has nothgin to do with obama. it's too bad the news sources choose to overstate/guestimate the #s for a story on the # rather than actually try and find the fucking #.

nevertheless, could you imagine if for-profit/private business had to pay whatever it cost the government to create that site for their own/our own sites? fuuuuuuuuck. right.

no i'm not. i'm looking at it like it provides a function.

and now you're just making shit up like you were in the room.

if you want to see very similar functionality- state based search of health insurance based on individual profiles, just surf www.ehealthinsurance.com

i've stepped-through the cal state exchange, and i've bought at the site above, they're similar. the gov site does more by validitating yrou identity via your credit report( calling a 3rd party is no biggie to code) and also determining your eligibility based on the income you input, again, no biggie, many gov sites do that already.

wehi allow focused geo-based searches and also doctor's searches, i.e, I can input my doctor's name and see all of the plans available he accepts.

i doubt ehi paid 10s of millions for their operation

I bet it is obscene, too. All government contracts are loaded with wasted dollars.

We're also a little jaded though. I have a friend that owns a web development firm and ten years ago it was ridiculous what he'd get paid $20k for. For $20k he'd be expected to do the same site that someone in adult could have done for $2k. These days he's struggling because people can get the same with a $60 modded WordPress template.

Edit: a fully and tightly integrated solution, even tied into the old mainframe legacy systems the government still uses shouldn't cost more than $500k to a million, I'd think. And at that price the contractor should still be able to turn a nice profit.

But you keep saying "it's a website". But you fail to look at the road to get there.

Just giving thought to how to legally handle this data multiplied times laws in fifty states is a logistical nightmare, no less how to make it all work with ALL of the healthcare providers.

I once worked on a year long IT project that only had to talk to one DB. It was two months of just planning it out on a white board.

What are you even talking about here? No doctors have had to upgrade their software. Doctors were, however, offered up to $40k when switching to a EMR/PMS if they attested to passing all of the stages of meaningful use, which most solution providers guarantee as a part of your purchase.

Edit: And HL7 is what allows medical applications to talk to each other. That has already existed for years.

Double Edit: HIPAA already covers all privacy laws and is also already as strict as it gets, so nobody was flying around for meetings with SAOs.

are any of you whiners going to apologize or feel any shame when the ACA is just as entrenched and popular as social security and medicaid in a few years...

no you'll probably just move on to bitching and talking shit about something else thats positive for society.

fucking cry babies
http://i.imgur.com/ZkvwuY4.png

it is a website rochard. just because it provides a service via functionality doesn't make it not a website.

but i couldn't care less what you want us all to call it, fill me in though, what do you want us to call it? an operation?

legal schmegal, ehealthinsurance does all that nonsense.


it's neat you worked on a year long it project, that has nothing to do with anything, else i would post a partial resume and we would have this very cleared up. :)

rochard, like always, i am not trying to convince you of anything/change your mind, get you to see the baby jesus. you quoted my comment re: fox news claiming a more reasonable $93m, i'm replying to your trying to get me to see and justify a $100m+ website, oops, operation, when i've seen it done elsewhere in the private sector already for what had to be much much much less.


:-)

opps double post :1orglaugh

He's definitely just pulling shit out of his ass now.

They probably had the extra challenge of making it interface with archaic AS/400 mainframes and other equally outdated systems, but those other things he's going on about are pure fiction. It was probably more difficult than if it had been a private sector endeavor since the technology refresh cycle is much slower, but not all of that other mess he added.

When it comes to talking to each other, HL7 has been widely adopted and supported for years now. The hardest task they would have had was making it talk to existing government solutions.

you sound much more knowledgeable about it. the thing is, back to the op, i get that that gov overpays on shit. i actually think it's not a bad idea to have them slightly overpay, i know 6% margins are not uncommon on many gov contracts, food stuffs for instance. bullets.....but dang, this one got way out of hand.

Ignoring all the chatter, all I have to say is that I can build them a website that works as well as theirs for a shit load less then 500 mill.

Just my :2 cents:

.

Then why did my wife's office have to upgrade their computers?

It might not have anything to do with Obamacare, but the hospital network they work with enforced it and they had to upgrade.

HIPPA... You are missing something - local state laws apply here too, and they can be different from HIPPA. What if the way Obamacare is set up on line requires local healthcare providers in Montana to violate a state law? All of this has to be looked before any code is written.

If this upsets the OP, wait until he finds out that they're paying an average of $800k per employee to the UK company that is tasked with getting boots on the ground to sign people up. I did that math months ago when reading about an obscure company awarded the contract. They mentioned 7,000 employees but the contract amount was huge and that is what it came out to when I did the math. So not only will they probably profit about $760k per employee, the money will be flowing out to another country.

I am a huge supporter of ACA but even I can admit that there are flaws, both with the bill and its implementation. I just don't think things are anywhere near as drastic as people are making them out to be. That and they're singling things out because its attached to ACA when what they are pointing to happens every other day of the year. I cannot stand the people that are oblivious to things until it is Obama that is doing it. They're not hating the thing, they're hating the person its attached to. When you point out that they only seemed to start caring on January 20, 2009 they'll go on about how everybody is blaming Bush and living in the past.

Perfect example is the OP always bitching about federal spending when he actually gets back more than he puts in because of the state that he lives in. I should be the one bitching. I should have been bitching louder when I lived in Maryland. Those that live in the NE should be bitching the loudest. Yet they rarely do. They're welfare recipients arguing against welfare. They'll bitch and moan about Democrats spending and then elect Republicans to their state government who cannot figure out how to cut themselves off the government teat.

Never mind that it always seems to be the people from the poorest states bitching the loudest about it. Reminds me of the Medicare recipients that are against it.

/rant

Right, the hospital made them. Had nothing to do with ObamaCare. Also, how many jobs does your wife have?

HIPAA is likely stronger than any state law that exists. HIPAA is insane and extremely hard to be compliant with. Since you spent a year working on a project where people had to fly around the country to speak to SOAs about state health privacy laws, please provide a state that has more stringent requirements than HIPAA. HIPAA has virtually zero implied consent, so I'm curious what states are stricter.

But where is your outrage about the 300 mil that was lost today? The 300 mil that was lost yesterday and the day before because of the govt shut down.. At two weeks that's over 4 billion dollars lost, to the US economy they we won't get back all thanks to congress playing politics and in the end Obamacare will still be the law of the land.. Meaning congress just pissed away people's livelihoods so they could play politics on TV..

OP you like this monster bitch doncha

you spank to her videos?

He's one of those that you just have to chalk up to being racist, pure and simple. Now I know that I'll be called racist for suggesting that he's racist, or because I'm thinking about race, which is apparently now racist in and of itself according to racist people. He has said numerous times that he liked Clinton and there is very little difference between Clinton and Obama.

The "nation" is 17 trillion dollars in debt.

Hardly "rich" if you ask me.

More like: The nation with the biggest military in the history of the world all paid for by borrowed money that we can't pay back.

I still haven't figured out how we "lost" 300 million dollars by not having 17% of the govt. that is considered "non-essential" not working?

How the hell does that work? LOL!

Somehow having an extra bunch of bureaucrats working in offices "saves" us $300 million dollars per day?

Sounds like more "Washington Mathematics" to me.

And here is what Obama said during the 2008 election about Bush raising the debt. (Sen. Obama voted against raising the debt ceiling when Bush was president by the way)


And President Hypocrite now has an almost 17 trillion dollar deficit. He has almost doubled what he took office with!

Found this link on Drudgereport for what it's worth..

In the first nine days of October, while the federal government was in what is commonly being called a shutdown, federal tax collections went up.

Last year, from Oct. 1 through Oct. 9, 2012, according to the Daily Treasury Statement, the federal government collected $55.235 billion in total tax revenues. This year, from Oct. 1 through Oct. 9, 2013, according to the Daily Treasury Statement, the federal government collected $56.188 billion in total tax revenues.

During nine days of a shutdown this year, the federal government collected $953 million more in taxes than it did in the same nine calendar days last year--when it was open for business.

Clearly, being shutdown does not mean the government is shut out of the taxpayers’ pocketbook.
- See more at: http://www.cnsnews.com/mrctv-blog/te....1qDyOh1p.dpuf

I wonder how much the call center cost too. I mean, that's covered by the same department, Health And Human Services it's called?

We lost more money today than the website cost but Republicans don't have their panties in a bunch about that.

Most likely yes. However, I am guessing that a lot more planning went into this than just assuming HIPPA covered everything.

I never said that. I said I spent a year supervising an IT project. It had nothing to do with healthcare nor did it require flying anywhere. It was all done in house, and was adult related. My point was that it involved two months of discussion planning everything out before writing a single line of code.


HIPPA is only one law that covers one aspect of healthcare. Each state has hundreds if not thousands of different laws that apply to doctors and healthcare in general, all of which have to be gone over to make sure this system is legal in all fifty states.

I really am. I am clueless when it comes to Obamacare.

But common sense tells you there are thousands of state laws that apply here, and all of them have to be researched before hand.

Common sense tells you that if a healthcare provider is going to move into a new state, they will have to look into local state laws. A company is not going to invest hundreds of millions of dollars only to discover this are not legal and have to shut down for six months.

This is no different.

Exactly.

But building the system and the website is only one part of this project.

Are you saying that the all of the healthcare information about all US Citizens is sitting on a single server at some dumpy hosting company? Are you saying the money spent doesn't include a call center? Are you saying that hundreds if not thousands of people needed to be trained?

Of course not. We don't need a ten million dollar secure data center to store this info. We don't have a call center for help. And no one at all needed to be trained.

you are debating Neanderthals

The president doesnt give out the money to be spent congress does. Then he is obligated to spend the money congress approved.

I realize this is very hard for you to understand, but there is a shit load of companies that do govt work. Those companies have had to temporally lay off their employes. That means those companies are not making money and their employes are not making paycheck. That reduces our economy and cost us not only economic growth but also tax dollars..

I'll give you an example.. My aunt is a engineer on the space x project.. She and all her co workers are currently laid off.

Unrelated, but my cousin on the flip side is a aid for Senator Rockefeller, she is still working and was at the VW Federal building, when the former police officer shot it up today. There is no good coming out of this shut down and it's not only costing us lots of money, but also pushing people over the edge.

Also.. You seem to be quite worried about the national deficit.. Well you erase the deficit by growing the economy. You don't grow the economy by closing the govt or sequestering it and forcing the very people whom could create new tech break troughs to leave the country in order to get funding. Exactly that is happening right now.

They should have used Square Space.

If that's true, it'd be par for the course with a government contract. Millions in taxpayer dollars are handed over to "contractors", who spend all day getting hammered at the strip club.

Awesome Story Bro..

Who Cares. Private sector people are laid off DAILY.
Time to cut the Spending.

Now, will they do that, NO...

I honestly believe that the FAT can be trimmed and if the number are right, only 17% are now laid off. I honestly believe more could be, and still do fine.

Remember when Obama ran for President and he was going to go in with a SCALPEL and remove BS Pork stuff to recover money.

Get to CUTTING

Something that also confuses me.
If we spend billions over the last years for ACA
Insurance companies have been raising rates higher than normal to cover last few years.
The Program relies on healthy young adults to cover the cost of the program.
WHAT is being defunded??

You got me man! It's just so hard for me to understand. If only I were as intelligent as you are...I bet I'd have already made millions of dollars in this business.

EDIT: PornoMonster pretty much just hit the nail on the head.
The real horror story here is that so many people and businesses depend on the Federal Govt. for overinflated contracts at taxpayer expense.

So non-essential government employees and over-inflated contractors are finally feeling the pain of the recession? Cry me a river.

I know you are a hero in your own mind, but tell me.. How is it you think we are going to pay down the national deficit when we are reducing the size of our economy and lowering the tax in take.. We have to grow the economy to get out of this.. We did it when Clinton was in office because of the tech boom. You don't create economic booms like the tech boom, by sequestering the funds to the very researchers whom could give us that next boom..

You are living in Ron Paul fairy land if you think we are going to cut spending enough to pay down the deficit. It's not going to happen unless you plan on firing our entire military..