Incredible read and a great analysis of the problems with the IT side of the Affordable Healthcare act. Unfortunately, the IT problems with the AHA were just the beginning. The terms are non-negotiable since they carry the weight of law. Agile boils down to having negotiable, discoverable requirements during the engineering process, which is basically the complete opposite.
The AHA was intentionally "overengineered" and unfortunately we're going to be stuck with the damage for a long time :/ The few good things that did come out of the AHA could have been passed in smaller separate bills, for instance, state health exchanges (Why hasn't this been done before?) ...But the point it seems was to drill something down our throats and serve special interests. In the end, not much has changed, yet somehow an incredible tax burden has been levied on the people of the USA :/
The AHA was intentionally "overengineered" and unfortunately we're going to be stuck with the damage for a long time :/ The few good things that did come out of the AHA could have been passed in smaller separate bills, for instance, state health exchanges (Why hasn't this been done before?) ...But the point it seems was to drill something down our throats and serve special interests. In the end, not much has changed, yet somehow an incredible tax burden has been levied on the people of the USA :/