NY  Times
 
Why the Government Never Gets Tech  Right  
Getting to the Bottom of  HealthCare.gov’s Flop
By CLAY JOHNSON and HARPER REED
Published:  October 24, 2013

 
 
MILLIONS of Americans negotiating America’s health care system know all too 
 well what the waiting room of a doctor’s office looks like. Now, thanks to 
 HealthCare.gov, they know what a “virtual waiting room” looks like, too. 
Nearly  20 million Americans, in fact, have visited the Web site since it 
opened three  weeks ago, but only about 500,000 managed to complete 
applications for insurance  coverage. And an even smaller subset of those 
applicants 
actually obtained  coverage.
 
For the first time in history, a president has had to  stand in the Rose 
Garden to apologize for a broken Web site. But HealthCare.gov  is only the 
latest episode in a string of information technology debacles by the  federal 
government. Indeed, according to the research firm the Standish Group,  _94  
percent_ 
(http://www.computerworld.com/s/article/9243396/Healthcare.gov_website_didn_t_have_a_chance_in_hell_?pageNumber=1)
  of large federal 
information technology projects over the past 10  years were unsuccessful — 
more than 
half were delayed, over budget, or didn’t  meet user expectations, and 41.4 
percent failed completely.  
For example, Sam.gov, a system for government  contractors developed by 
I.B.M. that started in 2012, has cost taxpayers $181  million and is just now 
beginning to work as expected. Before that, a new  version of USAJobs.gov 
landed with a thud, after years during which millions  were spent. In 2001, the 
F.B.I. started a virtual case file system, and after  dumping the project, 
renaming it, and finding new vendors to build it, the  project, “Sentinel,” 
managed to see the light of day just last year.  
Clearly, these failures — though they are not as well  known to the public —
 extend far beyond Barack Obama’s presidency. But this  latest stings more 
than the others. Perhaps that’s because it comes from a  president who is 
seen as a transformational figure, who has had to watch his  signature 
achievement be held hostage by that most banal of captors: a clunky  computer 
system.  
So why is it that the technology available to Mr.  Obama as president doesn’
t compare to the technology he used to win an election?  Much of the 
problem has to do with the way the government buys things. The  government has 
to 
follow a code called the Federal Acquisition Regulation, which  is more than 
1,800 pages of legalese that all but ensure that the companies that  win 
government contracts, like the ones put out to build HealthCare.gov, are  
those that can navigate the regulations best, but not necessarily do the best  
job. That’s evidenced by yesterday’s Congressional testimony by the largest 
of  the vendors, CGI Federal, which blamed everyone but itself when asked to 
explain  the botched rollout of the new Web site.  
But maybe there’s hope. In 2004, campaign contracting  was a lot like 
government contracting is today: full of large, entrenched  vendors providing 
subpar services. Howard Dean changed that by reaching out to a  new breed of 
Internet-savvy companies and staffers (including one of us). In  2012, Barack 
Obama beat Mitt Romney thanks in part to a mix of  private-sector-trained 
technology workers and a well-developed ecosystem of  technologies available 
from competitive consultants.  
This latest failure is frustrating for us to watch.  Our careers have 
largely been about developing technology that allows more  people to 
participate 
in the way we finance, support and elect candidates for  public office. 
Together, we’ve done things that transformed elections, but we  now need that 
work to carry into transforming government.  
Government should be as participatory and as  interactive with its citizens 
as our political process is. A digital candidate  will never be able to 
become a digital president if he can’t bring the  innovation that helped him 
win election into the Oval Office to help him govern.  
HealthCare.gov needs to be fixed. We believe that in a  few days it will 
be. As Mr. Obama said last week after the government shutdown  ended, “There’
s no good reason why we can’t govern responsibly, despite our  differences, 
without lurching from manufactured crisis to manufactured crisis.”  There’s 
no good reason we can’t code responsibly, either. We must find a fix to  
the federal procurement process that spares the government’s technology 
projects  from the self-inflicted wounds of signing big contracts whose terms 
repeatedly  and spectacularly go unmet.  
The good news is that these problems are not unique to  the United States 
government, and others already have solutions. In 2011, the  British 
government formed a new unit of its Cabinet Office called the Government  
Digital 
Service. It’s a team of internal technologists whose job it is to either  
build the right technology, or find the right vendors for every need across the 
 
government. It gives the government a technical brain. It has saved the 
country  millions, and improved the way the government delivers services 
online.  
The United States has taken a step in this direction.  Last year, the 
government’s chief technology officer, Todd Park, started the  Presidential 
Innovation Fellows program and brought together innovators from  across the 
country to work on hard technical problems inside of government. But  we need 
to 
create our own Government Digital Service.  
The president should use the power of the White House  to end all large 
information technology purchases, and instead give his  administration’s 
accomplished technologists the ability to work with agencies to  make the right 
decisions, increase adoption of modern, incremental software  development 
practices, like a popular one called _Agile_ 
(http://en.wikipedia.org/wiki/Agile_software_development) ,  already used in 
the private sector, and work with 
the Small Business  Administration and the General Services Administration 
to make it easy for small  businesses to contract with the government.  
Large federal information technology purchases have to  end. Any 
methodology with a 94 percent chance of failure or delay, which costs  
taxpayers 
billions of dollars, doesn’t belong in a 21st-century government.  
------------------------------------------------------- 
 
Clay Johnson, a former Presidential Innovation Fellow and lead programmer 
for  Howard Dean’s 2004 campaign, is the chief executive officer of the 
Department of  Better Technology, a nonprofit that develops technology for 
governments. Harper  Reed is the former chief technology officer of Obama for  
America.

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