Medical Panic?

Visited the orthopedist today with someone who recently decided, in part because of uncertainty about the future of the medical system, to go ahead with elective joint-replacement surgery. The orthopedist said that he had three other patients today who want to do the same thing and expressed the same reason. His surgical schedule is booked into January. I suspect we will start to hear many more such anecdotes.

You Can’t Keep Your Plan

We just re-upped our health insurance for the employees of our small company. The price increase was breathtakingly astounding. The increase will be coming right out of the profit sharing. There isn’t really anything we can do.

Our policy is so good that we are forced to pay a one thousand dollar a month tax on it. Thanks.

It took Blue Cross a very long time to get us a quote because of the insane maze of new regulations. Due to this and time constraints, we basically had no choice besides sign up and take the increase, or cut everyone loose to the disastrous healthcare.gov site and give them a stipend of some sort – but we actually like our employees so no dice on that.

Besides, we have employees in two states – Illinois and Wisconsin. Wisconsin deferred to the federal plan, Illinois did a mixture. I am sure that will go very well. So that would create another issue we would need to address – how to stipend who so our employees are treated fairly.

All of our employees received a card from Blue Cross saying that their current plan will expire. And this is true. The new plan is similar, but not exact.

We have absolutely no idea what will happen next year, since our Blue Cross person said that the plan that we just signed up on will not be available when that rolls around.

Our employees are furious at the Obama administration for this debacle. Here’s hoping this will change some votes.

On Being an IT Project Manager

My profession is much in the news at the moment, so I thought I would pass along such insights as I have from my career, mostly from a multibillion-dollar debacle which I and several thousand others worked on for a few years around the turn of the millennium. I will not name my employer, not that anyone with a passing familiarity with me doesn’t know who it is; nor will I name the project, although knowing the employer and the general timeframe will give you that pretty quickly too.
We spent, I believe, $4 billion, and garnered a total of 4,000 customers over the lifetime of the product, which was not aimed at large organizations which would be likely to spend millions on it, but at consumers and small businesses which would spend thousands on it, and that amount spread out over a period of several years. From an economic transparency standpoint, therefore, it would have been better to select 4,000 people at random around the country and cut them checks for $1 million apiece. Also much faster. But that wouldn’t have kept me and lots of others employed, learning whatever it is we learn from a colossally failed project.
So, a few things to keep in mind about a certain spectacularly problematic and topical IT effort:

  • Large numbers of reasonably bright and very hard-working people, who have up until that point been creating significant wealth, can unite in a complete flop. Past performance is no guarantee, and all that. Because even reasonably bright, hard-working people can suffer from failures of imagination, tendencies to wishful thinking, and cultural failure in general.
  • Morale has got to be rock-bottom for anybody with any degree of self-awareness working on this thing. My relevant moment was around the end of ’99 when it was announced, with great fanfare, at a large (200+ in attendance) meeting to review progress and next steps, that we had gotten a single order through the system. It had taken various people eight hours to finish the order. As of that date, we were projecting that we would be doing 1,600 orders a day in eight months. To get an idea of our actual peak rate, note the abovementioned cumulative figure of 4,000 over the multi-year lifespan of the project.
  • Root cause analysis is all very well, but there are probably at least three or four fundamental problems, any one of which would have crippled the effort. As you may infer from the previous bullet point, back-office systems was one of them on that project. Others which were equally problematic included exposure to the software upgrade schedule of an irreplaceable vendor who was not at all beholden to us to produce anything by any particular date, and physical access to certain of our competitors’ facilities, which they were legally required to allow us into exactly two (2) days per year. See also “cultural failure,” above; most of us were residing and working in what is one of the most livable cities in the world in many ways, but Silicon Valley it ain’t.
  • Not to overlook the obvious, there is a significant danger that the well-advertised difficulties of the website in question will become a smokescreen for the fundamental contradictions of the legislation itself. The overall program cannot work unless large numbers of people act in a counter-incentived (possibly not a word, but I’m groping for something analogous to “counterintuitive”) fashion which might politely be termed “selfless” and do so in the near future. What we seem likely to hear, however, is that it would have worked if only certain IT architectural decisions had been better made.

This thing would be a case study for the next couple of decades if it weren’t going to be overshadowed by physically calamitous events, which I frankly expect. In another decade, Gen-X managers and Millennial line workers, inspired by Boomers, all of them much better at things than they are now, “will be in a position to guide the nation, and perhaps the world, across several painful thresholds,” to quote a relevant passage from Strauss and Howe. But getting there is going to be a matter of selection pressures, with plenty of casualties. The day will come when we long for a challenge as easy as reorganizing health care with a deadline a few weeks away.

The Little Things

Since the government is in a partial shutdown, I decided to very carefully keep track of the things that I miss. I have also been keen to keep tabs on my wife, to see if she has noticed anything in her circle that is closed, altered, inconveniences her, etc. She really hasn’t said anything as of yet (I am not asking or prompting, just listening to hear how her day is, waiting for her to say “such and so was closed”, or something of that nature).

The one thing so far that I have been blocked on is the NOAA radar website that I visit every day, to get some weather news. I am in the HVAC industry and as such it is important that I keep up on the weather. The NOAA site now redirects here, with an ominous message.

Of course, this is bullsh1t, as even though I don’t know how these things work, I imagine that the federal government pays its server fees far in advance, and this is just plain old punishment for the “regular folks”, just like closing the national parks is punishment for those who have planned vacations. The amount of money needed to keep our parks and websites like NOAA open is so tiny it is almost laughable when compared to the enormous benefits and waste that the government is involved in and it is simply a stick in the eye to us.

So that is it so far – one website down that has affected me so far. And it isn’t like there aren’t any other places where I can get the weather.

Archive Post – Military Rites, Practices & Legends: BX & Commissary Privileges

(An archive post from [gasp] 2004, wherein I attempted to explain and demystify certain military practices and establishments to a strictly civilian readership. I was reminded of this series, as one of the chief effects of the fed-gov shut-down is that just about all of the military commissaries at stateside bases will be closed from about midday today. The resulting effect on the retiree and active duty population at stateside bases probably will be rather minor, especially for those bases in or near larger cities, since Walmart, Target, Costco, Sam’s Club and local grocery chains provide alternative sources.)

The main attraction of these privileges – access to the military base Commissary and Exchange – lies mostly in the fact that such access is forbidden to the usual run of civilians, and so they tend to think of them as vast Aladdin’s caves of riches and materiel things, to which they do not have the magic key! Alas, while I am fairly sure that the gold-plated bases in the military pantheon probably are pretty well stocked with the luxury goods, and may very well resemble Aladdin’s cave, at the ordinary level they are as Cpl. Blondie observed “full of stuff you don’t need.”
When I was giving the school-kiddy tours at Mather AFB, to kids who had never been on a military base before, I would have the school-bus driver take a circuitous loop around the base, and point out the various establishments: “A base is just like a city or a town– this is the Headquarters building, it’s like the Mayor’s office and the City Hall, over there is the housing area, where everyone lives with their families. There is even an elementary school for the kids. That is our grocery store, only we call it the commissary. We even have our own gas station… this is the Exchange, it is just like a small department store, with a little bit of everything…”

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