There wasn’t a single person in the federal government who said, ‘My job is the seamless implementation of the Affordable Care Act.’ 

So far, this is the best article I’ve read about why healthcare.gov was botched so badly.

“They were running the biggest start-up in the world, and they didn’t have anyone who had run a start-up, or even run a business,” said David Cutler, a Harvard professor and health adviser to Obama’s 2008 campaign, who was not the individual who provided the memo to The Washington Post but confirmed he was the author. “It’s very hard to think of a situation where the people best at getting legislation passed are best at implementing it. They are a different set of skills.”

HealthCare.gov: How political fear was pitted against technical needs