
Kryzbyn |

Doug's Workshop wrote:Yeah, requiring people to have basic healthcare and providing subsidies to those who can't afford it is, like, practically the next-door neighbor of socialist dictatorship.Scott Betts wrote:Or because it's another step towards an authoritarian government.Another example of someone opposed to the ACA because they're absolutely terrified that it will be good for the country.
Boggles the mind...
So ACA was deemed necessary because 29% of the country didn't have healthcare.
Now that the ACA is in place, 1.5% have had their current coverage cancelled as of Dec 01 2013 because it's not good enough for what's set forth in the ACA, AND the 29% this was for can't get onto the exchanges to get healthcare, either.

Scott Betts |

Scott Betts wrote:Doug's Workshop wrote:Yeah, requiring people to have basic healthcare and providing subsidies to those who can't afford it is, like, practically the next-door neighbor of socialist dictatorship.Scott Betts wrote:Or because it's another step towards an authoritarian government.Another example of someone opposed to the ACA because they're absolutely terrified that it will be good for the country.
Boggles the mind...
So ACA was deemed necessary because 29% of the country didn't have healthcare.
Now that the ACA is in place, 1.5% have had their current coverage cancelled as of Jan 01 2014 because it's not good enough for what's set forth in the ACA, AND the 29% this was for can't get onto the exchanges to get healthcare, either.
The mandate attached to the ACA won't go into effect until well after the exchange website is up and running (they'll push the mandate back if necessary), so while not having access to the exchange is inconvenient, it's not as heinous as it sounds.
(As a side note, it is not reasonable to expect a software project to deliver on time and on budget, because the software industry hasn't really figured out how to accurately assess these things ahead of time. It is really unreasonable to expect a project as large as the ACA site to deliver on time and on budget; see this infographic.)
You also need to take a look at how many of those 1.5% would have been dropped from their policies regardless of the ACA due to decisions by their insurance company. I'm sure there are still some extra, but I'm also sure that a significant portion of that 1.5% are people who would have lost their plan anyway.

Kryzbyn |

They have not, as of yet, pushed back any mandates, other than the corporate one, nor has Congress voted to do so.
If it's not reasonable to expect it be done by then, why was that date chosen?
1.5% (3.5 million people; 80k alone in Louisiana, so who knows) is an estimate. Could be more, could be less. How is the ACA helping those that would have lost their coverage anyway?

Comrade Anklebiter |

Well, I can't find any definitive news quite yet but it doesn't look like the People's Republic of Galt will be coming to Seattle quite yet.
Not sure, but I think we might've lost Minneapolis, too. :(
Meanwhile, closer to home, Marty Walsh's campaign was seen as a potential last hurrah for Massachusetts Labor. Well, he won, and I'm sure his succession of Tom "No tolerance for civil disobedience" Menino will please my union boss, but the fact that he denounced a schoolbus drivers strike during his campaign doesn't exactly thrill me.
How were your elections?

Doug's Workshop |

Smart-assery aside, there are some pretty good arguments out there that markets aren't the panacea they're often made out to be. Assuming you're willing to look.
Markets may not be perfect, but they are the best option out of the list of imperfect choices.

thunderspirit |

bugleyman wrote:Markets may not be perfect, but they are the best option out of the list of imperfect choices.
Smart-assery aside, there are some pretty good arguments out there that markets aren't the panacea they're often made out to be. Assuming you're willing to look.
If you have the means with which to participate, that's possibly true.
If not, the invisible hand does you no favors.
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Strangely enough, the term "arachnocapitalism" is only used by leftists who feel the need to disparage those with whom they disagree.
** spoiler omitted **
Just so you know, that is absolutely untrue. There are people who happily identify as anarchio-capitalist or 'ancaps'.
They don't consider it an insult.

Scott Betts |

They have not, as of yet, pushed back any mandates, other than the corporate one, nor has Congress voted to do so.
They have stated that the mandate will be pushed back. See: this article.
If it's not reasonable to expect it be done by then, why was that date chosen?
Because Congress likes deadlines.
In all seriousness, there is a lot of friction between the need for projects to have deadlines attached to them, and the reality that no one has come up with a reliable way to predict what it will take to complete a large software project.
The ACA site is now being used in software design courses as one of the primary examples of how large software projects are so difficult to manage.
1.5% (3.5 million people; 80k alone in Louisiana, so who knows) is an estimate. Could be more, could be less. How is the ACA helping those that would have lost their coverage anyway?
Many of them will be losing coverage because insurance companies, up until the ACA, have had the ability to drop people from their plans for medical reasons. That will no longer be possible.
To boot, many of those that will lose their coverage will be able to repurchase coverage at heavily subsidized rates much cheaper than they were previously paying (again, once the ACA website is working), without worrying about being denied coverage for pre-existing conditions.

Doug's Workshop |

Just so you know, that is absolutely untrue. There are people who happily identify as anarchio-capitalist or 'ancaps'.They don't consider it an insult.
The far more common usage is by leftists who use it as an insult.
Sort of like the Flat-Earth Society. It's a real thing, but the common usage is as a term of disparagement. As in: "It's a funny thing that the only people who use the term 'flat earther' are environmentalists who feel the need to disaprage those with whom they disagree."

Scott Betts |

Kryzbyn wrote:This won't happen in America. We're better.Really? thats just funny. Look at this place, do you really think THIS america is better than anything?
Actually, yes, according to a whole pile of very important metrics, the United States is actually doing very well, comparatively. It actually is better than most places.
Kryzbyn's comment was sarcastic, by the way.

Comrade Anklebiter |

Usagi Yojimbo wrote:The far more common usage is by leftists who use it as an insult.
Just so you know, that is absolutely untrue. There are people who happily identify as anarchio-capitalist or 'ancaps'.They don't consider it an insult.
Is it? Granted, I'm here in New Hampshire, land of the Free State Project, but most usage of the term that I've encountered is either proud self-identification or other anarchists bemoaning the use of the term.

Scott Betts |

Sort of like the Flat-Earth Society. It's a real thing, but the common usage is as a term of disparagement. As in: "It's a funny thing that the only people who use the term 'flat earther' are environmentalists who feel the need to disaprage those with whom they disagree."
Even if that were true (I love that you just compared anarcho-capitalism to belief in a flat earth while accusing us of using it disparaginly), no one here is using it inaccurately. You can take the manufactured anti-liberal outrage elsewhere.

thunderspirit |
1 person marked this as a favorite. |

Usagi Yojimbo wrote:The far more common usage is by leftists who use it as an insult.
Just so you know, that is absolutely untrue. There are people who happily identify as anarchio-capitalist or 'ancaps'.They don't consider it an insult.
Kind of like people who use leftist, liberal, progressive, etc., as a slur.

bugleyman |

Now that the ACA is in place, 1.5% have had their current coverage cancelled as of Dec 01 2013 because it's not good enough for what's set forth in the ACA, AND the 29% this was for can't get onto the exchanges to get healthcare, either.
Any coverage in place when the law was signed is exempt from ACA requirements forever. These are known as grandfathered plans. Any company that canceled coverage effective Jan 1, 2014 was NOT required to do so by the ACA. Did they use the ACA as an excuse? Quite possibly.
Edit: Turns out I was mistaken -- Grandfathered plans are exempt from some requirements, but not others. Here is a good article on the matter. I would summarize things thusly: Some plans are being canceled because bringing them into compliance with the law would make them less profitable than the insurance company is willing to accept.

bugleyman |

Markets may not be perfect, but they are the best option out of the list of imperfect choices.
I respect the power of the profit motive, and the efficiencies that markets deliver. But I think markets work best when regulated, which is Keynesianism in a nut shell. Unfortunately, part of the American public reliably confuses regulation with Socialism.

thejeff |
They have not, as of yet, pushed back any mandates, other than the corporate one, nor has Congress voted to do so.
If it's not reasonable to expect it be done by then, why was that date chosen?
1.5% (3.5 million people; 80k alone in Louisiana, so who knows) is an estimate. Could be more, could be less. How is the ACA helping those that would have lost their coverage anyway?
Because you need a deadline or nothing ever gets finished. Even if you don't make the deadline, you still need to have had it.
And of course, once it's there it's politically impossible to move it.Actually, they have pushed back the mandate. IIRC it was originally you needed to have purchased coverage by January and it needed to start by March. Now it still needs to start at the same time, but you can sign up until that deadline.
There are still almost 5 months left. The website is improving. The plan is for it to be "fixed" by the end of November. If so, I don't see the need for pushing back the mandate further. Certainly doing so now is premature. If it's still close to unusable by December, maybe that's time to think about it.
"Fixed" being a standard software term meaning basically functional. On anything like this, there are always going to be some issues. Maintenance and upgrades will continue. If nothing else, companies and states will change their rules and interfaces.

thejeff |
I think if it shouldn't be released until after it has gone through a thorough security C&A (including pen test) by a neutral third party and has been signed off on by the president.
The thing is that that C&A could take months to do.
And then when it's 90% through that audit, some red state will opt in to Medicaid with it's own set of rules and there will need to be more changes and the audit will have to be redone.
Sorry, it's not a bad idea, but it's not going to happen. Not on that level.Part of the problem is political. There's a large and powerful constituency dedicated to killing it. Even well intentioned delays are just more fodder.

Justin Rocket |
Justin Rocket wrote:I think if it shouldn't be released until after it has gone through a thorough security C&A (including pen test) by a neutral third party and has been signed off on by the president.
The thing is that that C&A could take months to do.
And then when it's 90% through that audit, some red state will opt in to Medicaid with it's own set of rules and there will need to be more changes and the audit will have to be redone.
Sorry, it's not a bad idea, but it's not going to happen. Not on that level.Part of the problem is political. There's a large and powerful constituency dedicated to killing it. Even well intentioned delays are just more fodder.
Doesn't really matter how many people are dedicated to killing it. Releasing a nationwide health system which is full of vulnerabilities is putting everyone's life at risk and should be a non-starter.

thejeff |
thejeff wrote:Doesn't really matter how many people are dedicated to killing it. Releasing a nationwide health system which is full of vulnerabilities is putting everyone's life at risk and should be a non-starter.Justin Rocket wrote:I think if it shouldn't be released until after it has gone through a thorough security C&A (including pen test) by a neutral third party and has been signed off on by the president.
The thing is that that C&A could take months to do.
And then when it's 90% through that audit, some red state will opt in to Medicaid with it's own set of rules and there will need to be more changes and the audit will have to be redone.
Sorry, it's not a bad idea, but it's not going to happen. Not on that level.Part of the problem is political. There's a large and powerful constituency dedicated to killing it. Even well intentioned delays are just more fodder.
Let's not go overboard. "Putting everyone's life at risk"?
It's signing up for insurance, not controlling their treatment.There are privacy issues. There are identity theft issues. There are not "Someone is going to hack into it and kill people" issues.

Justin Rocket |
Justin Rocket wrote:thejeff wrote:Doesn't really matter how many people are dedicated to killing it. Releasing a nationwide health system which is full of vulnerabilities is putting everyone's life at risk and should be a non-starter.Justin Rocket wrote:I think if it shouldn't be released until after it has gone through a thorough security C&A (including pen test) by a neutral third party and has been signed off on by the president.
The thing is that that C&A could take months to do.
And then when it's 90% through that audit, some red state will opt in to Medicaid with it's own set of rules and there will need to be more changes and the audit will have to be redone.
Sorry, it's not a bad idea, but it's not going to happen. Not on that level.Part of the problem is political. There's a large and powerful constituency dedicated to killing it. Even well intentioned delays are just more fodder.
Let's not go overboard. "Putting everyone's life at risk"?
It's signing up for insurance, not controlling their treatment.There are privacy issues. There are identity theft issues. There are not "Someone is going to hack into it and kill people" issues.
What do you think would happen if, due to a vulnerability in the system, the ACA database reports that a person is not qualified to receive a medical treatment they need?

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What do you think would happen if, due to a vulnerability in the system, the ACA database reports that a person is not qualified to receive a medical treatment they need?
That sounds like an issue with the insurance providers database rather than the exchange. Or is Health.gov going to be consulted by the patients insurer to determine covered care?

Matt Thomason |

Justin Rocket wrote:What do you think would happen if, due to a vulnerability in the system, the ACA database reports that a person is not qualified to receive a medical treatment they need?That sounds like an issue with the insurance providers database rather than the exchange. Or is Health.gov going to be consulted by the patients insurer to determine covered care?
Yep, I was under the impression the ACA site was more for directing insurance-seeker traffic to providers, not for the actual insurance claims later (although hey, I'm in the UK, I just have to go on third party info, so I'm sorry if I misunderstood)

Justin Rocket |
Justin Rocket wrote:What do you think would happen if, due to a vulnerability in the system, the ACA database reports that a person is not qualified to receive a medical treatment they need?That sounds like an issue with the insurance providers database rather than the exchange. Or is Health.gov going to be consulted by the patients insurer to determine covered care?
Without a security review, it is impossible to say what vulnerabilities exist or might exist in the system.

meatrace |

Usagi Yojimbo wrote:The far more common usage is by leftists who use it as an insult.
Just so you know, that is absolutely untrue. There are people who happily identify as anarchio-capitalist or 'ancaps'.They don't consider it an insult.
Maybe in your circles. I've talked with a WHOLE lot of people who identify as anarcho-capitalists. AnCap is the new, even more radical version of libertarianism and has the same sort of allure to young, financially stable, white men.
Especially on the internet. It's so prevalent on YouTube and especially in the deep web.
We've seen people extoll the virtues of anarcho-capitalism on these boards, using that very term.
Now, 'AnCap' I use derisively. As in the term "f&%~in' ancaps". I tend to blame a lot of things on AnCaps, often sarcastically. It's my version of "Thanks, Obummer!"

Scott Betts |

Have you thought about how vulnerable to attack (hacking) the ACA website is likely to be once it is rolled out?
Have you?
What do you think would happen if, due to a vulnerability in the system, the ACA database reports that a person is not qualified to receive a medical treatment they need?
That would be very impressive, considering that care providers won't be in the habit of consulting the health exchange database to determine what their patients qualify for.
It's doubtful that the ACA system will contain much more personally identifiable information than dozens of other state and federal website databases that are used all the time and are generally secure (at least comparably secure to equally sensitive products developed by private companies).

thejeff |
2 people marked this as a favorite. |
thejeff wrote:What do you think would happen if, due to a vulnerability in the system, the ACA database reports that a person is not qualified to receive a medical treatment they need?Justin Rocket wrote:
Doesn't really matter how many people are dedicated to killing it. Releasing a nationwide health system which is full of vulnerabilities is putting everyone's life at risk and should be a non-starter.Let's not go overboard. "Putting everyone's life at risk"?
It's signing up for insurance, not controlling their treatment.There are privacy issues. There are identity theft issues. There are not "Someone is going to hack into it and kill people" issues.
Seriously?
I know other people have responded to this, but since you were talking to me:It doesn't do that. It's not supposed to do that. No one will try to use it to do that. It doesn't matter what vulnerabilities are in the system, unless you think someone is going to hack in, add new functionality, convince the insurance companies to rely it and then use it to kill people. But that's just stupid.
It's a website to sign up for insurance and apply for subsidies. That's it. It's complicated because it needs to follow different regulations in every state, since insurance is regulated by the states, as well as federally and interface with all the insurance providers and with the IRS and several other government programs, but it really does just let you sign up for insurance. Once you've done so, it's up to the insurance company to deny you coverage. Which they've done quite happily in the past, but will now be a little more restricted.
And frankly, I'm really going to find it hard to take you seriously anymore. You come in here fearmongering about the ACA and the exchange website and you don't even have a basic understanding of what it does? You haven't done the most basic research about it? Why should I listen to you on anything?

Justin Rocket |
Justin Rocket wrote:Without a security review, it is impossible to say what vulnerabilities exist or might exist in the system.However, if the vulnerability you are worried about requires features not present in the system I think you can rule it out.
Not necessarily.
First, if there is a vulnerability in the ACA application, then a hacker can use it as a starting place from which to elevate privileges.Second, if the ACA server is connected to insurance provider servers, the hacker can move from the ACA server to the insurance provider servers. One common way to do that is with XSRF.
The specific exploits which could be used, what exactly is at risk, and the specific threats cannot be answered without a risk analysis.
fyi until I became disabled, I worked as part of a team doing C&A for the AFSCN. Before that, I designed and developed a patented solution to manage vulnerability data for TRICARE and the DoN.

bugleyman |

Not necessarily.
First, if there is a vulnerability in the ACA application, then a hacker can use it as a starting place from which to elevate privileges.
Second, if the ACA server is connected to insurance provider servers, the hacker can move from the ACA server to the insurance provider servers. One common way to do that is with XSRF.
If that is the case, then the insurance provider's application has a problem, not healthcare.gov. Unless you're arguing that the information wouldn't have been available online in any form without the ACA? I think that would be a pretty tough argument to make -- and even if you could, it still isn't a problem with healthcare.gov.
Maybe someone who gets medical care because of the ACA -- and subsequently survives -- will go on to assassinate the president. In which case, I guess you'd say the ACA killed the president? :P

Justin Rocket |

Justin Rocket wrote:Not necessarily.
First, if there is a vulnerability in the ACA application, then a hacker can use it as a starting place from which to elevate privileges.
Second, if the ACA server is connected to insurance provider servers, the hacker can move from the ACA server to the insurance provider servers. One common way to do that is with XSRF.If that is the case, then the insurance provider's application has a problem, not healthcare.gov. Unless you're arguing that the information wouldn't have been available online in any form without the ACA? I think that would be a pretty tough argument to make -- and even if you could, it still isn't a problem with healthcare.gov.
Maybe someone who gets medical care because of the ACA -- and subsequently survives -- will go on to assassinate the president. In which case, I guess you'd say the ACA killed the president? :P
There is a principle of due care involved. If an insurance company has a data leak due to this connection, the insurance company can claim that due care was not followed by healthcare.gov. We used to see this kind of thing happen all the time with Smurf and Fraggle attacks (where one system comes under attack because it is open to another system which is vulnerable and the two systems are owned by different parties). We see it less often now because of the legal concept of due care.

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bugleyman wrote:...We see it less often now because of the legal concept of due care.Justin Rocket wrote:Maybe someone who gets medical care because of the ACA -- and subsequently survives -- will go on to assassinate the president. In which case, I guess you'd say the ACA killed the president? :PNot necessarily.
First, if there is a vulnerability in the ACA application, then a hacker can use it as a starting place from which to elevate privileges...
There are so many problems with ACA that are real, do we really need to invent ones that don't exist?

Justin Rocket |
Justin Rocket wrote:There are so many problems with ACA that are real, do we really need to invent ones that don't exist?bugleyman wrote:...We see it less often now because of the legal concept of due care.Justin Rocket wrote:Maybe someone who gets medical care because of the ACA -- and subsequently survives -- will go on to assassinate the president. In which case, I guess you'd say the ACA killed the president? :PNot necessarily.
First, if there is a vulnerability in the ACA application, then a hacker can use it as a starting place from which to elevate privileges...
Show me your proof that security vulnerabilities don't exist in the ACA system.

thejeff |
And we'd better not let it go live until all the insurance company websites and their entire systems and the state exchanges, not to mention the IRS sites and any other sites that share any data with healthcare.gov.
After all, any one could be a route into any other and then let you deny care so that people die!!!!

Justin Rocket |
What you're suggesting is like saying someone could hack into Orbitz and cause a plane crash.
What I'm suggesting is that a hacker could potentially use an exploit on the ACA server and use the ACA server as a launching point to connect to servers the ACA server is connected to. That may include insurance provider servers.
Is the system architecture for the ACA online? You couldn't make your assertion unless you've seen it and I'd love to review it.