Obamacare’s Branch of the NSA | National Review Online.
Because 34 states have declined to set up their own insurance “exchanges,” the job of guiding exchange enrollees in those states has been left to Washington. The identity of the groups who will get the Sebelius grants isn’t yet known, but Politico reports they are likely to include Planned Parenthood, senior-citizen advocacy organizations, and churches.
So far everything we’ve learned indicates the navigators will be flying blind, or could well be “unsafe at any speed.” In June, the Government Accountability Office reported that HHS is considering allowing navigators to assist with outreach and enrollment tasks even before completing their formal training. The reason? Like so much of Obamacare, the navigators program is behind schedule and drowning in its own complexity.
And what information will Navigators have access too and how trustworthy are they?
This spring, House Oversight and Government Reform Committee lawyers were also told by HHS that, despite the fact that navigators will have access to sensitive data such as Social Security numbers and tax returns, there will be no criminal background checks required for them. Indeed, they won’t even have to have high-school diplomas. Both U.S. Census Bureau and IRS employees must meet those minimum standards, if only because no one wants someone who has been convicted of identity theft getting near Americans’ personal records. But HHS is unconcerned. It points out that navigators will have to take a 20–30 hour online course about how the 1,200-page law works, which, given its demonstrated complexity, is like giving someone a first-aid course and then making him a med-school professor. “I want to assure you and all Americans that, when they fill out their [health-insurance] marketplace applications, they can trust the information they’re providing is protected,” said Marilyn Tavenner, head of HHS’s Centers for Medicare and Medicaid Services, at a congressional hearing last week. In the age of Wikileaks and IRS abuses, somehow that isn’t very comforting.
“The standards proposed by your department could result in a convicted felon receiving federal dollars and gaining access to confidential taxpayer information,” a group of nine Republican senators led by Utah’s Orrin Hatch wrote to Secretary Sebelius last month. “The same standards allow any individual who has registered with the exchange and completed two days of training to facilitate enrollment, as if the decision to purchase health insurance is similar to the decision of registering to vote.”
Goodness gracious be careful out there. The attraction of the subsidy and the expense of the policies will force many to go through the exchange. I can’t offer a better alternative but your very confidential information is all in front of a Navigator that could easily have very questionable credentials.