"They were running the biggest start-up in the world, and they didn't have anyone who had run a start-up, or even run a business," Cutler told The Post. "It's very hard to think of a situation where the people best at getting legislation passed are best at implementing it. They are a different set of skills."
Obama recently appointed manager-extraordinaire Jeff Zients to oversee efforts to fix the troubled website. It's not clear that Zients or any other accomplished leader will be put in charge of implementation at large. (Zients will become director of the National Economic Council in January.)
2) Don't lie. The Obama White House has a credibility problem, one that could infect his entire agenda. It started when the White House refused to release data on the number of people who enrolled in the online marketplace, an important metric for determining the effectiveness of the $400 million-plus site. Administration officials say they don't have the data, which is either a mark of extraordinary incompetence or a lie.
The problem was compounded when millions of self-insured Americans received notices that their health care policies were being canceled. For years, Obama pledged that "if you like your health care plan, you'll be able to keep your health care plan. Period." According to The Wall Street Journal, Obama's advisers knew the president was making a promise he couldn't keep, and debated whether to have the president "explain the nuances of the succinct line in his stump speeches." In other words, they debated whether to tell the full truth and decided against it. They knowingly told a falsehood, which is by definition a lie.
Rather than acknowledge the deception, the White House has launched a public-relations effort to mitigate it. The most brazen example is the White House's use of Twitter in an attempt to discredit an NBC story that accurately described the White House's deception. "NBC 'scoop' cites normal turnover in the indiv insurance market," White House spokesman Josh Earnest tweeted to his 9,500 followers on Twitter, according to a Reuters story on the operation.
3) Create an efficient health insurance bureaucracy. According to The Post, the decision to put ACA implementation in the hands of the Centers for Medicare and Medicaid Services was fateful. Politics played a role. Administration officials thought it would protect the project from House Republicans who are trying to undermine the law. Money was another reason. The ACA did not include funding for the development of a federal exchange, and the White House knew Republicans would block any attempts to get it. The result was a disastrously fragmented process. As a source told The Post, "There wasn't a person who said, 'My job is the seamless implementation of the Affordable Care Act.' "
The White House and its allies blame Republicans for the lack of money and options. It's an understandable reaction. The GOP-controlled House wants to gut the law.