Meanwhile, Russia is doing its best to antagonize Hillary, Obama, and Kerry, to the point of directly funding their opposition in Syria with weapons and overt personnel/expertise. If Hillary gets elected, I can virtually guarantee that we will end up in a shooting war with Russia...probably via proxy, possibly even directly.
It's a good thing that Putin's fanboi Trump is going to win the election then?
My employer outsourced about 200 people to IBM Global Services about 5 years ago, hiring maybe 30 of them to stay for 2-4 years. About 6 months into the program, he had the gall to stand up at an IT wide meeting and admit that they "didn't get the A-team, they didn't even get the B or C-team, but he would fix it". Two years later, he was gone. We still have IBM and Cognizant at our shop, and they're still not the A-team. Don't get me wrong, some of them are excellent, and most of them are the on-shore team, the off-shore team is always hit-or-miss. I only know of one personal that we've ever managed to "fire" for cluelessness, most of them disappear because they got a better job across the street back in India. The Cognizant folks actually have tried to bring in some modern practices, unlike the IBM group, who couldn't even be bothered to learn to use a newer version of an IBM product (with practically zero differences). When either company brought in "experts" in technologies we are using, they never knew more than our own people did, and often less.
Maybe it's our contracts, but I know of plenty of cases where we've asked for statement of work to do stuff, and the internal folks report that something that ought to take a couple of hours gets padded out to several weeks. If I were a CIO, I'd build my own internal contractor pool before outsourcing to India. With an internal pool, there's more stability and accountability, and you can salt it with people from your company who actually understand the business.
If I want subsidized insurance I have to enroll in medicaid. I bet you didn't realize that if your income is too low your only option for subsidized insurance is medicaid. I wouldn't touch that crap with a 10 foot pole.
What do you think Medicaid is? Under Obamacare, it's that exchange insurance policy with a subsidy. You'll be paying your portion of the premium to the insurance company and the government pays the rest. You don't have to take the bronze plan in order to get the subsidy, either.
And this is this typical anti-Obamacare response based on misrepresentation of how Obamacare works. Obamacare is basically two things: a private insurance exchange that has specific rules about what is covered and a medicaid program that subsidizes the premiums. The only people who are deciding whether or not your mother can have surgery are employees of the insurance company your mother chooses. That's right, the so-called death panels are run by a bunch of private for-profit (or sometimes not-for-profit) insurance actuaries. And even those not-for-profit insurance companies don't do losses unless they want to go out of business.
Sure, some people signing up in the exchange might end up being told that they qualified for subsidies when they should have, and will have to refund some or all of their subsidies. But your definition of "routinely" is bogus. I'm quite sure that it doesn't mean, at least 50% of benefits are calculated incorrectly, probably something like
Even though healthcare.gov is a government program, most of the development work was not done by government employees, it was done by a bunch of government contractors following the requirements of a bunch of political appointees who were in over their heads. People like your wife's coworkers aren't the ones setting up these systems, they're not the cause of the initial fiasco, they're not the ones on the death march to fix the problems. They're just shuffling the paperwork once the process is set up. And the paperwork they're shuffling has nothing to do with medical decisions whatsoever, it's just deciding whether somebody is going to have to pay full price for their insurance or if the government is subsidizing it.
I probably should have posted this anonymously like you did so I could mod you down, because your post isn't insightful at all. If Obamacare was a national healthcare system like the UK NIH you might have had a valid point, but it's not, and the Department of Health and Human Services is not in charge of your healthcare beyond requiring that any health insurance sold in the exchanges has to provide coverage for specific procedures and have specific out of pocket maximums. They're not even responsible for the insurance companies cancelling the existing policies that don't meet their requirements for the exchanges.
Any given program will expand to fill available memory.