The Obama administration is very much about bold visions and big promises, and it takes pride in "fundamentally transforming" this and that, doing things in "a new way," and so forth. However, this turns out to be the easy part. Take Obamacare. The thing is a patchwork of waivers and carve outs. And the administration appears incapable of ... well, of administering it with any consistency or competency. As Joe Klein points out:
The key incentive for small businesses to support Obamacare was that they would be able to shop for the best deals in health care super-stores—called exchanges. The Administration has had 3 years to set up these exchanges. It has failed to do so.
To be fair, Obamacare may be complex and contradictory beyond the abilities of any government. It may be that no administration could make it work and there are some, indeed, who suspect that this was just part of the plan—that Obamacare was always viewed as a stop along the way to the ultimate destination of a single payer system like the one enjoyed by the British.
But Klein writes that the administration's managerial failures are not limited to Obamacare and that “we are now seeing weekly examples of this Administration’s inability to govern. Just a few weeks ago, I reported on the failure of the Department of Defense and the Veterans Administration to come up with a unified electronic health care records system. There has also been the studied inattention to the myriad of ineffective job training programs scattered through the bureaucracy. There have been the oblique and belated efforts to reform Head Start, a $7 billion program that a study conducted by its own bureaucracy—the Department of Health and Human Services—has found nearly worthless. The list is endless.”