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December 09, 2013



Perhaps the lesson is sweeping public policy change that requires systematic integration of disparate IT systems is an exercise in hubris.

The reality maybe to think big but craft the implementation locally. If a policy vision can not be broken into small execution elements under local control, it is not a clear vision, but wishful thinking.

Google, Amazon, et al do not have 30 year old infrastructure with legacy code for which the source does not exist. This is not uncommon in state government and even in the public sector. Integration at this scale must include a clear view of the complexity of the task, and adapt its implementation accordingly. I do not think this clarity was evident when the legislation was passed, let alone when the rules were promulgated by HHS.

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