‘
In New York, officials said their exchange had 2.5 million visitors in its first half hour. California reported as many as 16,000 hits a second. And U.S. officials recorded 2.8 million visitors to the federal website, healthcare.gov, even as it fought technical problems much of the day.
The difficulties with the online insurance marketplaces gave new ammunition to Republicans who say the Affordable Care Act doesn’t work. President
“Anything short of a calamity on day one is a victory,” said
While the federal site, which serves 36 states, was inaccessible for much of the day, administrators “added capacity and made adjustments” to put it back into service by late afternoon,
“Like every new law, every new product rollout, there are going to be some glitches in the sign-up process along the way that we will fix,” Obama said yesterday at a White House event.
Enrollment Unclear
Opponents of the startup said the delays and frozen websites were, indeed, calamitous. And it remained unclear how much the wave of interest would translate into enrollments. While
If the technical issues aren’t quickly fixed, they may spur a backlash, said
“To have something that doesn’t work after two-and-a-half years is pretty underwhelming,” Holtz-Eakin said in a telephone interview.
Republican lawmakers, who’ve resisted appeals to increase funding for the law, called for a one-year delay. “We should have never gotten to this point,” U.S. Senator
Political Battle
The political battle over the law enacted in 2010 will continue as Democratic supporters and Republicans opponents put their spin on events. The dispute triggered the first U.S. government shutdown in 17 years yesterday, as Republicans demanded delays in the law as a price for approving a new budget bill.
Investors seemed convinced of the law’s viability, at least for a day.
‘Want Reform’
“People who own these stocks want reform to work,” said
The exchanges are a centerpiece of a law designed to cover more of the 48 million uninsured Americans. The websites are supposed to help consumers access federal subsidies and choose from a menu of private insurance plans that take effect Jan. 1, when the law requires all Americans to obtain insurance.
The administration is seeking to get about 7 million people to buy policies through the exchanges in the open enrollment period that runs through March.
Both the uninsured and those trained to help them enroll expressed frustration over yesterday’s delays.
New York Disappointment
In New York City, Madelina Aviles found herself unable to enroll in a health plan after the state’s insurance website went down. The 60-year-old Bronx woman said she’d been uninsured since shortly after losing a job in January, forcing her to put off medical treatment for a pain in her arm.
While Aviles found an exchange plan for less than $100 a month, an “awesome” result, she wasn’t able to immediately enroll because of the website’s technical problems, she said in an interview at the Community Service Society in
While the delay was a disappointment, Aviles said she would keep trying.
Teajai Kimsey, 49, of Wichita,
“If you don’t know the web well, it will be really discouraging and leave a bad taste in your mouth,” Kimsey said in a telephone interview. “They have some first-day bumps. I’m more tolerant, I know this happens.”
Maryland Navigators
In
Instead, they handed out fliers and tried to set up appointments for patients to come back later and sign up online.
“It’s a glitch,” said Srivastava, who expected to take patients to a computer, where they could learn what subsidies they’d be eligible for, and where they could sign up. “In training, they described the rollout as a 1972 Honda. It will get there, but it won’t have all the luxuries.”
Maryland is one of 14 states, and
Improved Performance
While problems persisted, the state sites improved their performance throughout the day. Colorado officials said at day’s end about 1,500 people had created accounts on their exchange. In
In
Staff members from
Benefit Delay
“Everyone knows today’s the day, information-wise,” Teater, a customer service representative, said in an interview. “I don’t think the Jan. 1 start date sank in.”
After the initial rush, things will settle down and the law will see the kind of gradual enrollment that occurred with the rollout of the Medicare Part D prescription drug program in 2005, said Joel Ario, managing director of Manatt Health Solution, a Washington-based consulting firm that advises insurers, and a former director of the federal Office of Health Insurance Exchanges.
“It’s still too early to tell how serious the glitch problem will be,” Ario said in an e-mail. “But one of beauties of online systems is the ability to continually improve them, not like printing a million inaccurate brochures that have to be tossed.”
The government shutdown that began yesterday didn’t delay the exchanges because they’re funded largely through mandatory spending not affected by the budget battle.
Plan Subsidies
People eligible for coverage can go to
Enrollees don’t have to complete the process until Dec. 15 to guarantee coverage on Jan. 1. About two-thirds of uninsured people said they plan to buy medical coverage next year rather than pay a fine, according to a