Mother Jones
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As the Obama administration continues to unsuck its health care website, one questions lingers: How did this important government project get so screwed up? If you ask technologist Clay Johnson, the insurance exchange’s problems began, in a way, in 1995, when “Congress decided to lobotomize itself.”
Johnson was referring to a specific action lawmakers took then: They killed a tiny federal agency called the Office of Technology Assessment. Established in 1972 as Congress’ nonpartisan in-house think tank, the OTA studied new technologies and offered recommendations on how Washington could adapt to them. But then Speaker of the House Newt Gingrich (R-Ga.) turned off its lights.
Today, members of Congress have legislative counsels to help draft laws. They have the Congressional Budget Office to analyze how much laws will cost. But they don’t have the OTA’s experts to tell them how those laws will work.
“An OTA review might have prevented some heartburn and embarrassment” associated with the Healthcare.gov rollout, argues Rep. Rush Holt (D-N.J.), an astrophysicist who has previously introduced legislation that would resurrect the agency.
Warning Congress about problems with Healthcare.gov—and explaining them—would have been right in OTA’s wheelhouse. The office, Rep. George Brown (D-Calif.) dryly remarked in 1995, was a “defense against the dumb.” During its 24-year existence, the agency developed a reputation for sharp, foresighted analysis on the problems of the new information age: It called for a new, reinforced tanker design a decade before the Exxon-Valdez spill; emphasized the danger of fertilizer bombs 15 years before Oklahoma City; predicted in 1982 that email would render the postal service obsolete; and warned that President Ronald Reagan’s Strategic Defense Initiative (better known as “Star Wars”) would likely result in a “catastrophic failure” if it were ever used.
Analyzing health care spending was one of OTA’s specialties. One of its final reports, “Bringing Health Care Online,” published in 1995, focused on the potential (and potential for mishaps) in electronic data interchanges. “Changes in the health care delivery system, including the emergence of managed health care and integrated delivery systems, are breaking down the organizational barriers that have stood between care providers, insurers, medical researchers, and public health professionals,” the report warned.
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You Can Also Blame Newt Gingrich for the Obamacare Website Screwup
