Author Topic: Healthcare.gov still doesn't work  (Read 11366 times)

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Offline General Battuta

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Re: Healthcare.gov still doesn't work
Right, of course, it's a collective action problem. The payoff for an individual strategy change is low so nobody changes, even though the payoff for a mass strategy change would actually be hugely positive.

But, look, this is what I've been saying all along: the reason I'm pushing back on your points is that you aren't going deep enough. You don't get poor people into work by reminding them that, boy, if they just all got up and send out more applications they'd probably find something. You need to figure out why people aren't more politically engaged. You've got to get into the structural factors and look there.

If Americans aren't turning out en masse for change then there's a reason. You have to get a causal map.

Right now the explanations I'm hearing don't go deeper than 'Americans sure are ignorant, cynical, and disengaged!' (this is true) But that's not a useful diagnostic. If Americans are dispositionally disinclined to ever asking for change, well, end of story, right? But we all know that's not the case. There are causal factors that can be identified.

As ever what I'm pushing for here is recognition that the situation is more complicated than a massive failure of individual will.

 

Offline karajorma

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Re: Healthcare.gov still doesn't work
I don't doubt that that is the case.

The point I was making is that the solution is simple. It's execution may be complex but that's a rather different issue. By painting it as a ridiculously difficult problem to solve you actually demotivate people and make it harder to solve.
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Offline General Battuta

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Re: Healthcare.gov still doesn't work
I don't think pretending that a complex implementation is simple is ever going to help anyone, because I don't think it's fundamentally a problem of motivation or morale. It's the sociopolitical equivalent of the mythical man-hour.

And yeah, I do think it's a ridiculously difficult problem, a colossal problem.

 

Offline karajorma

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Re: Healthcare.gov still doesn't work
I'm going to have to simply disagree with you then.
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Offline Luis Dias

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Re: Healthcare.gov still doesn't work
Well it is a monumental gigantic impossible effort if you are trying to overcome every single possible structural problem in sociopolitics.

Aim lower and more precisely and perhaps a lot more efficiency and a lot less frustration might come your way.

 

Offline StarSlayer

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Re: Healthcare.gov still doesn't work
I don't really see where the solution is "simple" and that just throwing political activism at the problem is going to fix it.  For one thing the United States isn't one ideological entity, its a vast tableau of often conflicting ideologies.  Its not even as simple as red vs blue, within those divisions are multiple different groups.  While a large portion of Americans probably would agree that things are broken they certainly won't agree on the solution.  Even with full investment of the populace the response would be very fractured.
« Last Edit: January 04, 2014, 12:04:22 am by StarSlayer »
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Offline S-99

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Re: Healthcare.gov still doesn't work
I'll just put this the easy way for most people to understand.

If it is the type of people who will do something to fix the situation, all of those people have been left not knowing what to do.
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Re: Healthcare.gov still doesn't work
your easy way does... not actually make sense, grammatically
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Offline jr2

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Re: Healthcare.gov still doesn't work
your easy way does... not actually make sense, grammatically

QFT; rephrase plox

  

Offline S-99

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Re: Healthcare.gov still doesn't work
Alrighty.

The people who are capable of doing something about the situation have been left not knowing what to do.
Every pilot's goal is to rise up in the ranks and go beyond their purpose to a place of command on a very big ship. Like the colossus; to baseball bat everyone.

SMBFD

I won't use google for you.

An0n sucks my Jesus ring.