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Healthcare.gov Didn't Have to Be a Disaster
Here's How to Fix It -- And Avoid Failure in the Future
PETER L. LEVIN was chief technology officer at the Department of Veterans Affairs. He is now president and CEO of Amida Technology Solutions. SHAHID N. SHAH is CEO of Netspective Communications.See more by Peter L. LevinSee more by Shahid N. Shah
Assigning blame for Healthcare.gov’s disastrous rollout has been about as entertaining as thrashing about in a room full of piñatas without a blindfold. So plentiful are the targets that some wonder whether failure was inevitable and, more generally, whether democracy is incompatible with technocracy. In both cases, the answer is no. The problems with Healthcare.gov were easily avoidable. And there is no reason that Americans should resign themselves to such failures, now or in the future.
There are dozens of examples in which the government has successfully imagined and deployed astonishing new technologies. The creation of GPS, the “stealth utility,” as Brad Parkinson, the U.S. Air Force colonel who spearheaded its creation, likes to call it, is the example everyone points to today. The core idea behind GPS -- attaching atomic clocks to low-power radio beacons, launching a constellation of those beacons into orbit, and receiving their signals anywhere on the planet -- was far-fetched and expensive. Only the government had the resources, the military need, and the patience to even attempt such a feat. Once it did, though, the public reaped the rewards as well.
That is not to say that the government should attempt all innovative projects on its own. In fact, government involvement tends to work best when the public sector provides the will and the private sector provides the ingenuity and technical prowess. In the medical field, many projects are simply too expensive for any single company to fund without government support. Yet once government support is granted, the research can result in breakthrough technologies that bring vast profits for private firms -- and benefits for the public, besides. Another example is the Internet. Together, the private and public sectors collaboratively scoped, executed, and deployed a system that neither could have possibly created on its own.