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  1. Good point about the DMV system vs. the health care system. Yikes! State government does not have a very successful record implementing new IT systems on time and on cost. So the thought of the State running a huge all-encompassing health care system, bigger than anything we have done before, is frightening. Many agencies have struggled with this issue, and incurred significant cost and time overruns. Vendor management has been a key problem. Based on my 19 years of vendor management experience for the State, you have to hold vendors’ feet to the fire, sometimes almost daily, to ensure that each deliverable is on time and on cost. Sometimes you have to be relentless, and I do mean relentless. Implementing a new system requires a lot of staff time, and sufficient dedicated staff just for the project. Which means balancing project work against regular staff work. It’s not easy, but it can be done. And in my experience, very close vendor oversight is needed, along with significant financial performance penalties built into the contract for vendors’ failure to meet goals. It may not get the project done faster, but it certainly reduces cost, and the vendor has skin in the game.

  2. This is just one more example of how government committees, commissions, boards, ‘paper churners’ cannot seem to get things done. BUT, that does not mean that we should not have SinglePayer health care. It means that the new health care system should be clear, simple, and efficient. The government should stay out of ALL aspects of health care except the billing/paying process. All medically necessary health needs should be covered, including dental. The money to pay for this would come from the savings – getting insurance companies out of the loop. Also a broad based, progressive tax. The bottom line is – SinglePayer saves money and lives.

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