Parkinson = profit.
A quick thought that seems pretty good at the moment.

Was pondering why the operational side of Romneycare (website, fact-checking, payment, etc) is so totally fucked up. It's not government vs private, as Repooflicans would have you believe. Or rather, it is government vs private but the other way around.

The Feds have several agencies that constantly manage applications and payments and questions from everyone and do it beautifully. They don't lose millions of applications, they don't have to guess how many people paid.

IRS and SS have highly functional and helpful websites. Even Selective Service, which has been dormant for 30 years, has a splendid website where you can find clear answers quickly.

Why do they work while Romneycare fails?

Parkinson's Law. Bureaucracies exist to expand. The driving force of a bureaucracy is to increase its budget and workforce. When IRS works properly, it takes in more money FOR ITSELF. When SS works properly, it ends up with a larger trust fund FOR ITSELF. Therefore IRS and SS work properly.

Translate Parkinson into the private sphere and it's just another name for the profit motive, another name for life itself. When you are working for your own expansion, you work effectively.

This is missing in Romneycare. The profit is going to a few large insurance companies, who are NOT responsible for the 'exchanges'. If the exchanges work well, it means more money FOR SOMEONE ELSE. The system has absolutely no reason to work.

Not accidental. Romneycare was designed by idiot Repooflicans who believe that government should never receive money. It should never run a surplus, never keep money for a rainy day. It should magically do very little and make no profit at all. It should have no motive for running efficiently or serving the people.

So: Romney introduced a system planned by Randians, a system that violates the basic laws of any organization. Obama then duplicated the system at the federal level.

Result: Terrific waste, ruination of the entire health care setup, and lots of unnecessary deaths.
  ¶ 5:01 PM