By Henry J. Aaron
The first two weeks of the Affordable Care Act have not gone smoothly. Newspapers and TV news reports have been filled with reports of computer glitches and crashes. A mixture of gloating and faux surprise has been heard from some quarters. Other observers have shown genuine concern about whether all would-be purchasers will be successfully enrolled by January 1 when coverage through the new marketplaces—or "exchanges"—begins.
Surprise at the glitches is unwarranted. Concern about design flaws is legitimate. The gloating is contemptible.
Problems attend the roll-out of every complex law. The start of the drug benefit under Medicare in 2006 is illustrative. Many feared that the array of choices was so bewildering that enrollees would make costly mistakes. The start was marked by confusion and sluggish take-up. Eventually, people selected plans—not always optimally, according to various studies—but well enough so that millions of enrollees gained access to new coverageRead More »from Health Reform: We Know That It Can be Done, Because It Has Been Done