Fifty years ago a brash young President established an objective to put a man on the moon in ten years. By providing adequate technical resources the mission was accomplished.
Fifty years later a brash young President established an objective for a national healthcare system. Instead of providing adequate technical resources the project was assigned to Congress.
The result was/is a disaster.
The impact goes far beyond the waste of time and money involved. The Affordable Care Act is an Information Technology failure. It is not a system. It is a vague set of rules which has thrown the entire healthcare universe into chaos. It will leave national healthcare even more fragmented than before and make an adequate system much more difficult to achieve. It could well set national healthcare back a decade.
We have no choice now but to live with this amateur effort. It will have to run its course and be replaced. Hopefully the next iteration will finally provide an adequate healthcare (system).
The Affordable Care Act is probably not as tragic as the decision to invade Iraq but it is another example of the inadequacy of Governmental leadership. How much longer can the nation survive the abject failure of the Washington establishment? I have studied government for seventy five years and have never seen such chaos.