Menu
Obamacare portal suffers from common e-health government disorders

Obamacare portal suffers from common e-health government disorders

The Affordable Care Act site has malfunctioned due to scalability issues, political squabbling and unreasonable deadlines

The U.S. governments healthcare portal is under emergency care, afflicted by ailments that have sickened many government IT health systems worldwide.

Two weeks after it opened, users still struggle to gain access and sign up for insurance under the terms of the Affordable Care Act, President Barack Obama's signature legislation.

Financial, technical and managerial missteps caused the crisis, and fixing the US$400 million system could take up to two months, the New York Times wrote on Sunday.

The causes for the fiasco are varied and include unfeasible deadlines, scalability issues and bickering politicians.

However, the U.S. isn't alone; the problems and their causes are common around the world as many governments struggle to make e-health a reality, according to Charlotte Davies, lead analyst at Ovums Healthcare Life Sciences team.

"The portal has suffered from the usual lack of infrastructure to process all the requests. That is not a unique problem," she said.

In general, the success of e-healthcare initiatives in the public sector largely depend on political consensus, lack of which has impacted the U.S. project.

One of the criticisms levelled at the Obama administration is that deadlines have been too tight. That usually stems from politicians who think they have a very limited window to accomplish what they want, according to Davies.

In the U.K., the implementation of a new welfare reform project, called Universal Credit, by the Department for Work and Pensions, was recently criticized for similar reasons.

"The Departments plans for Universal Credit were driven by an ambitious timescale, and this led to the adoption of a systems development approach new to the Department," said Amyas Morse, head of the U.K. National Audit Office, in a statement.

Other common problems are bad architectures; lack of user involvement; and procuring systems that are too rigid, according to Davies. All three issues could have impacted the U.S. portal.

Beyond government agencies and the consultants they hire, the software industry also is to blame.

"Traditional vendors who have sold bespoke software packages have tended to market and sell proprietary systems that require a lot of customization and aren't very flexible," Davies said.

Often a lack competence combined with this complexity creates a "perfect storm," according to Davies.

Despite the shaky start, Davies thinks the U.S. federal government is on the right track.

"President Obama making healthcare accessible and widening the pool for insurance for people on low incomes is essentially the only way forward if they want to reduce the overall burden of health care costs in the long term," Davies said.

The plan in the U.S. is still for coverage to begin on Jan. 1 and then to close open enrollment on March 3.

Send news tips and comments to mikael_ricknas@idg.com

Subscribe here for up-to-date channel news

Follow Us

Join the New Zealand Reseller News newsletter!

Error: Please check your email address.

Tags Nonegovernment

Featured

Slideshows

StorageCraft celebrates high achievers at its inaugural A/NZ Partner Awards

StorageCraft celebrates high achievers at its inaugural A/NZ Partner Awards

Revealed at a glitzy bash in Sydney at the Ivy Penthouse, the first StorageCraft Partner Awards locally saw the vendor honour its top-performing partners with ASI Solutions, SMBiT Pro, Webroot, ACA Pacific and Soft Solutions New Zealand taking home the top awards. Photos by Maria Stefina.

StorageCraft celebrates high achievers at its inaugural A/NZ Partner Awards
Kiwi resellers make a splash on Synnex and Lenovo RotoVegas road trip

Kiwi resellers make a splash on Synnex and Lenovo RotoVegas road trip

​Synnex and Lenovo hosted 18 resellers for an action-packed weekend adventure in RotoVegas, taking in white water rafting on the Kaituna River, as well as quad biking and dinner at Stratosfare​, overlooking Lake Rotorua at the top of Mount Ngongotaha​. Photos by Synnex.

Kiwi resellers make a splash on Synnex and Lenovo RotoVegas road trip
Show Comments