Get Rid of Obamacare's Turkeys
A brief update to last week’s post on Barack Obama’s iPod presidency: Riffing off an excellent article by Ezra Klein, I pointed out that fixing the Department of Health and Human Services' technical problems isn't quite as easy as trying to replicate the lean design philosophy of the Consumer Financial Protection Bureau:
The CFPB is doing a good thing by taking a radical approach. But it can only do that because it’s a brand-new agency. In 25 years, if the CFPB is still around, I can virtually guarantee that it will have all the turf wars, bureaucratic inertia and so forth that has hobbled the Department of Health and Human Services. Not because government agencies are somehow especially awful, but because every organization calcifies over time.