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If you're a parent, your child can't be refused health insurance because of a pre-existing condition. Your adult child under age 26 has had the opportunity to stay on your health insurance. Your preventive care and birth control have been covered fully, with no copay from you. You might have gotten a rebate from your insurance company because they spent too much on administrative costs and not enough on delivery of care last year. If you're on Medicare, you've probably seen your prescription drug costs curtailed. All these parts of Obamacare have been in place for the last few years.

In 100 days, on Oct. 1, the next significant provision kicks in. On that day, those eligible can begin enrolling in insurance programs, with coverage beginning in January. You're eligible if you don't have insurance from your employer, or if that insurance costs too much—more than 9.5 percent of your income. Between now and then, the administration has a lot to accomplish.

There are, arguably, two big things that need to happen between now and October. The first is technical: The federal government needs to finish building the infrastructure that allows multiple government agencies to transmit information, determining whether an individual should qualify for tax subsidies. This is a really big lift that means connecting Health and Human Services, Treasury, Homeland Security and other agencies in a way that has never really happened before.

Also in the technical arena, the federal government needs to finish building the federal exchange, an online portal that most states will have their residents use to purchase health insurance. Fifteen states are also in the midst of putting finishing touches on the insurance markets they opted to run. [...]
There’s one other task on the Obama administration’s plate just as big as technological work, and that’s outreach. Even if the technological launch goes off without a hitch, that won’t be much good if no shoppers show up to the marketplace.

On the second issue, the non-profit Enroll America has launched an education and enrollment campaign, reaching out to churches, local assistance offices, anywhere people who might be eligible might turn up as well as launching a massive media campaign. That's obviously a pretty significant help. On the technical side, the to-do list  to make sure all those people being told about how to get in the program have a program to get into is huge. It includes making sure that the 17 states who are launching their own exchanges have final approval. Which means those 17 states have to have exchanges ready to start taking people on Oct. 1. In six states, the feds have to figure out a partnership with the state governments, all of which will vary. In 27 states, they have to set up the entire exchange.

That's just the beginning of the list. Sarah Kliff identifies another 40 or so. It's an awful lot of work to compress into 100 days, and much of it—thanks to Republicans—has been delayed and delayed because of litigation, because of defunding efforts, and because of just plain old obstruction at all levels. And that obstruction isn't likely to end, at least not from Republican states, since they are counting on Obamacare's first year being a fiasco to run on for 2014. In other words, it's going to be a long 100 days.

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Comment Preferences

  •  Tip Jar (24+ / 0-)

    "The NSA’s capability at any time could be turned around on the American people, and no American would have any privacy left, such is the capability to monitor everything. [...] There would be no place to hide."--Frank Church

    by Joan McCarter on Mon Jun 24, 2013 at 11:47:59 AM PDT

  •  Remember when the left tried to kill Obamacare? (1+ / 0-)
    Recommended by:
    ban nock

    If they'd succeeded, we'd never even be at this stage?

    Step 1: Someone writes a highly misleading diary with a selective use of facts. Step 2: Someone else writes a highly misleading diary to counter the first diary with a selective use of facts. Step 3: Someone says Obama is worse than Hitler. Repeat.

    by NoFortunateSon on Mon Jun 24, 2013 at 11:59:52 AM PDT

  •  As one of the sausage makers (3+ / 0-)
    Recommended by:
    mbayrob, splashy, kareylou

    it's not pretty; I spent this past weekend chasing web applet bugs and doing status conference calls and cleaning up database tables after failed runs but after 2.5 very long days, it's in the can and out the door... we'll be doing a lot of lather/rinse/repeat between now and Oct 01...

    I am currently the only Linux Engineer on the project who has been here longer than 2 weeks; I told the new guys that they were going to be fed with a firehose and it wouldn't be pleasant sometimes... that's just the reality of 99 and a wake up... there are actually other dates in the channel; 2 modules are already up in production and a third goes up in a few weeks... but as crazy as it has been... and with the inevitable attrition that comes with having to work under glass constantly the kind of hours not conducive to having a life... we are actually on target for all of the remaining milestones for the 10/1 full launch...

    Fear doesn't just breed incomprehension. It also breeds a spiteful, resentful hate of anyone and everyone who is in any way different from you.

    by awesumtenor on Mon Jun 24, 2013 at 04:19:28 PM PDT

    •  Thank you. (0+ / 0-)

      I am one of those hanging on by my fingernails, waiting for Oct 1. It can't come soon enough.
      May good things happen for you! You are accruing good karma!

      To keep our faces turned toward change, and behave as free spirits in the presence of fate--that is strength undefeatable. (Helen Keller)

      by kareylou on Tue Jun 25, 2013 at 09:53:30 AM PDT

      [ Parent ]

  •  Making the goons pay a price (1+ / 0-)
    Recommended by:

    Getting this thing launched will be a huge effort for the administration, and for the progressive movement as well.  In states like California, it looks like things will go well, largely because the governor and the Democratic majority in the legislature have done what was needed to make that likely.

    But in states like Texas, the goons in charge are doing their damnest to gum up the works.  To the extent we possibly can, we need to make this as visible, and as embarrassing as possible to the state GOP and their allies.

    Some of this can be done by giving a face to the people the GOP will need to screw over -- ordinary people whose only offense is lacking health insurance.  In 2012, the efforts to prevent AAs from voting did make it hard for many people to exercise their rights, but it also really motivated many people to stand in those lines, and to get their families and friends to the polls.  In the end, voting by African Americans was at rate comparable to whites, and in some places, better.  We can tell a similar story in the fight to get people registered in the national exchange, and tell a great story about how we are making people's lives better.

    But some of it needs to be done by shining a very bright light under some really infested Republican rocks.  Make the damn vermin scurry and try to hide.  Make them look not only cruel, but stupid.  And ridiculous.  And make the people who voted for them feel angry with themselves for helping stage this Goon Show.

    Quote of the week: "They call themselves bipartisan because they're able to buy members of both parties," (R. Eskow, Campaign for America's Future.)

    by mbayrob on Mon Jun 24, 2013 at 08:14:02 PM PDT

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