's Rocky First Month Leaves Plenty Of Questions : All Tech Considered Friday marked one month since the health care exchange marketplace opened. It's unclear how many people have actually enrolled in insurance, how much more the contractors who bungled the software will get paid and whether consumers will be satisfied with the plans they get.'s Rocky First Month Leaves Plenty Of Questions

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It's been a difficult few weeks for President Obama's signature health care law. There's the broken website that even the administration has called a debacle, plus the hundreds of thousands of cancellation notices sent to policyholders. From the outset, almost nothing has gone right. As NPR's Elise Hu reports, the administration is now racing to fix the site and to limit the political fallout.

ELISE HU, BYLINE: When it opened October 1st, we visited jazz musician Suzanne Cloud in Philadelphia. She couldn't wait to log in to, but technology thwarted her plans.

SUZANNE CLOUD: It kind of went (makes sound) and something went wrong.

HU: She wasn't alone, as it became clear quickly that this unprecedented system for folks in 36 states to shop and enroll for health insurance was broken in several places. A week into her failed attempts, Cloud stayed positive.

CLOUD: I keep reassuring folks who are saying, oh, my God, I can't get in. I go, don't worry, you will, you know.

HU: So now that a month has passed, we visited Cloud again at her Philadelphia home on Halloween night.

CLOUD: What are you?

HU: A zombie.

CLOUD: A zombie? Everybody's coming as zombies this year.

HU: Turns out it's that Cloud still needs to come back to life.

CLOUD: Right now, I haven't gotten anything yet. I haven't even seen the marketplace yet.

HU: She's attempted to get through the full site registration, shopping and enrollment process every three days or so for the past month. But the system's been intermittently out, going down at least twice this week.

CLOUD: Whenever I try to click on the thing that will take me to the next step, it goes to a page that says not authorized or no page found or something like that.

HU: Early numbers in notes released by the House Oversight Committee show that the health exchanges enrolled only 248 Americans in the first two days after the marketplace opened. But Health and Human Services Secretary Kathleen Sebelius testified this week that full enrollment data is still unclear.

SECRETARY KATHLEEN SEBELIUS: The system isn't functioning, so we are not getting that reliable data. Insurers who I met with said that that is the case.

HU: Behind the scenes, a few dozen programmers joined a tech surge to clean up the broken site code. Adding dozens of new contract workers means they have to get paid. So we asked Julie Bataille, spokesperson for the agency overseeing, for the total taxpayer cost committed for the federal exchange.

JULIE BATAILLE: Total IT spending is in the neighborhood of about $630 million.

HU: $630 million could buy you the NBA's Miami Heat franchise.


HU: Or pay for one year of running the city of Louisville, Kentucky.


HU: Or the entire mall clothing brand Hot Topic.

CLAY JOHNSON: The talent that it did have was very expensive.

HU: Clay Johnson is a programmer who built President Obama's 2008 campaign site. He estimates the system could've been built for a tenth of the cost had the government hired better talent and took a more open, agile approach to software development. Now, the tech surge is led by contractors who built the broken system in the first place.

JOHNSON: I'm pretty outraged at the fact that it's more profitable for a contractor to screw up than it is for them to do their job.

HU: As the cost picture becomes more clear, the administration is promising full enrollment numbers by mid-November. And November 30th is the administration's self-imposed deadline for fixing the site.


HU: Suzanne Cloud says she's not giving up, despite her month of failed attempts. After her online and phone registration hit snags, she'll now apply on paper.

CLOUD: I guess I'll fill it out. You know, what else can I do?

HU: Who else will enroll and will they be satisfied with the plans? The answers to those questions not only have policy implications but political ones, too. Elise Hu, NPR News, Washington.

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