“You get what you pay for.” And that's true. But as this healthcare law is proving almost every week now, you get what you don'tplan for, too.

|

In this week's installment of “Guess What's In PPACA?,” theprogram's chief executive officer, Health and Human ServicesSecretary Kathleen Sebelius, admits she didn't expect howcomplicated implementing this law would be, according to a reportfrom Reuters.

|

Let me repeat that. The person most singularly responsible forimplementing Obamacare is surprised at how hard it's been.

|

“The politics has been relentless and that continues,” Sebeliustold students at the Harvard School of Public Health. “There wassome hope that once the Supreme Court ruled in July, and then oncean election occurred there would be a sense that, 'This is the lawof the land, let's get on board, let's make this work.' And yet wewill find ourselves having state-by-state political battles.”

|

Are you kidding me? Where has she been the last four years?You're telling me a national public official has somehow managed toremain blissfully unaware of our increasingly divided, toxicpolitical environment over the last two presidential elections?Never mind the dozens of heated congressional and gubernatorialbattles over the last few years. Or the intense, headline-grabbingstate ballot initiatives, whether over “right-to-work,” civilunions or marijuana legalization.

|

Has she not caught a single segment on MSNBC, Fox News, or,hell, even Comedy Central over the last half decade?

|

We're talking about the single largest, far-reaching piece oflegislation to touch on the lives of more Americans in decades.This law has managed to divide this country more than the last GulfWar.

|

But with the exchanges set to start opening as soon as October,and with Medicaid expansion and mandates to follow soon after,we're quickly running out of time for too many more discoveries,admissions or rule changes.

|

To make matters worse, it just came out last week that theadministration plans a fancy marketing campaign to get the word outto the 48 million uninsured they want to reach, which will no doubtcost millions, at the very least. But you don't need Don Draper totell you how hard it is to market a product to a target audiencethat simply doesn't want your product. Because that's what thearchitects, and defenders, of this law are facing.

|

And that reflects the fatal flaw that underscores all of this: aclear lack of leadership, communication and planning that couldvery well bring this entire monolith toppling down. And at whatcost?

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

  • Critical BenefitsPRO information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.