The most spectacular failure in the country occurred on the watch of Massachusetts governor Deval Patrick. The Massachusetts website still does not allow residents to obtain insurance as the ACA requires, and state officials will not decide until late July whether to rebuild the site or use HealthCare.gov—even though we are now less than six months away from the next round of health exchange enrollments. In other words, the health exchange train wreck continues in Massachusetts.
Governor Patrick has stonewalled attempts by his heavily Democratic legislature to obtain an accounting of where the money went, but it appears that the state that once served as a model for the Affordable Care Act has already spent over half a billion dollars. In addition, as part of his chaotic implementation of the ACA, Patrick placed as many as 200,000 applicants who requested financial assistance onto Medicaid—whether they qualified for Medicaid or not. The state is just beginning to weed out the ineligible from the eligible, and it lacks the data to come clean with the public and CMS as to how many hundreds of millions of dollars will be spent on Medicaid payments for people ineligible for Medicaid. Where was CMS and where was the inspector general?
http://www.weeklystandard.com/articles/obamacare-blue-states_793908.html#
And there's the issue of how folks who are elected to office for their ability to say anything that is needed, whatever is needed, will be able to implement the ACA ...
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