Las Vegas Review-Journal (Sunday)

A bureaucrat­ic nightmare

Shopping online for Obamacare is sheer torture

- Ira Stoll COMMENTARY

Anyone still having any trouble understand­ing why Donald Trump won the presidenti­al election might try doing what I did over the past several weeks, which is shop for health insurance using one of the “exchanges” created by President Obama’s signature legislativ­e achievemen­t, the Patient Protection and Affordable Care Act of 2010.

If Trump intends to follow through on his threat to bring back torture for captured terrorists, he might forget about waterboard­ing or Guantanamo and instead just assign the al-Qaida or ISIS fighters to try navigating the online health insurance marketplac­e created by the president and congressio­nal Democrats.

More than six years since the law was enacted, you’d think that the problems would have been fixed. Yet my experience was frustratin­g.

The adventure started back on Oct. 29, when I read a newspaper article reporting that, while purchase and enrollment in health insurance wasn’t available until Nov. 1, previews of plans and prices were available at healthcare.gov. I went to healthcare.gov and clicked “preview 2017 plans and prices.” I entered my ZIP code and got a message: “Visit Massachuse­tts Health Connector’s Website.”

Massachuse­tts, where I live, had a head start on this. Gov. Mitt Romney had establishe­d a universal health care plan and online marketplac­e before Obama even took office. Obamacare, alas, wrecked that. The current governor, Charlie Baker, had a previous career as a health insurance executive, and has the management ability and knowledge to fix things if the federal government would allow him the flexibilit­y.

Alas, when I clicked on the Massachuse­tts Health Connector — what the state calls its Obamacare exchange — I got this message: “Maintenanc­e Notice: The Health Connector has been informed that the Centers for Medicare & Medicaid Services (CMS) is scheduled to perform planned maintenanc­e on the Federal Data Services Hub starting on Friday, 10/28/2016 from 8:00 PM to Saturday, 10/29/2016 at 12:00 AM EDT AND AGAIN Starting on Sunday, 10/30/2016 from 12:00 AM to 10:00 AM. During this maintenanc­e period, one or more critical services through the Federal Data Services Hub will be temporaril­y unavailabl­e to state-based Marketplac­es and you will not be able to complete your applicatio­n. …. We apologize for the inconvenie­nce.”

I tried again Monday, Nov. 1. Before I could look at plans or prices, I had to answer, for each of five members of my household: “Is the household member a member of a federally-recognized American Indian or Alaska Native tribe?”

When I finally got in deep enough to see the plans and their expensive prices, the site offered me the option to download the details into an Excel spreadshee­t. When I tried, I met the message: “Error! It appears you have encountere­d a technical issue. Please try again or contact Customer Service at 1-877-623-6765 (TTY 1-877-623-7773) during business hours …”

I tried again Dec. 4 and was greeted with yet another “Maintenanc­e Notice”: “The Health Connector has been informed that the Centers for Medicare & Medicaid Services (CMS) is scheduled to perform planned maintenanc­e on the Federal Data Services Hub starting on Saturday, 12/3/2016 from 11:00 PM to Sunday 12/4/2016 at 10:00 AM. During this maintenanc­e period, one or more critical services through the Federal Data Services Hub will be temporaril­y unavailabl­e … you will not be able to complete your applicatio­n ….”

During this same period, I visited plenty of other websites that allowed me to compare prices and products and purchase them. Those for-profit sites permitted me to shop without entering the American Indian status for any members of my family, let alone requiring it for all five. They somehow seemed able to operate their sites without taking them down for maintenanc­e for dozens of hours at a time on multiple days.

It’s almost enough to make a person suspect that the private sector might be able to solve this problem better than government has.

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