By Joe Klein Let me try to understand this: The key incentive for small businesses to support Obamacare was that they would be able to shop for the best deals in health care super-storesâcalled exchanges. The Administration has had 3 years to set up these exchanges. It has failed to do so. This is a really bad sign. There will be those who argue that itâs not the Administrationâs fault. Itâs the fault of the 33 states that have refused to set up their own exchanges. Nonsense. Where was the contingency planning? There certainly are models, after allâthe federal governmentâs own health benefits plan (FEHBP) operates markets that exist in all 50 states. So does Medicare Advantage. But now, the Obama Administration has announced that it wonât have the exchanges ready in time, that small businesses will be offered one choice for the time beingâfor a year, at least. No doubt, small business owners will be skeptical of the Obama Administrationâs belief in the efficacy of the market system to produce lower prices through competition. That was supposed to be the point of this plan. Certainly, the Republicans who have stood in the way of these exchangesâtheir own idea, by the way, born in the conservative Heritage Foundationâdeserve a great deal of the âcreditâ for the debacle. But we are now seeing weekly examples of this Administrationâs inability to govern. Just a few weeks ago, I reported on the failure of the Department of Defense and the Veterans Administration to come up with a unified electronic health care records system. There has also been the studied inattention to the myriad of ineffective job training programs scattered through the bureaucracy. There have been the oblique and belated efforts to reform Head Start, a $7 billion program that a study conducted by its own bureaucracyâthe Department of Health and Human Servicesâhas found nearly worthless. The list is endless. Yes, the President has faced a terrible economic crisisâand he has done well to limit the damage. He has also succeeded in avoiding disasters overseas. But, as a Democratâas someone who believes in activist governmentâhe has a vested interest in seeing that federal programs actually work efficiently. I donât see much evidence that this is anywhere near the top of his priorities. One thing is clear: Obamacare will fail if he doesnât start paying more attention to the details of implementation, if he doesnât start demanding action. And, in a larger sense, the notion of activist government will be in perilâdespite the demographics flowing the Democratsâ wayâif institutions like the VA and Obamacare donât deliver the goods. Sooner or later, the Republican party may come to understand that its best argument isnât about tearing down the government we have, but making it run more efficiently. Sooner or later, the Democrats may come to understand that making it run efficiently is the prerequisite for maintaining power. http://swampland.time.com/2013/04/02/obamacare-incompetence/ An interesting comment: Joe, You state "But we are now seeing weekly examples of this Administrationâs inability to govern." The administration has no desire to govern (frankly this is not purely a Democrat trait). What they wish is to amass power. The political mindset is no longer one of what is good for the country but rather that what is good for the party is good for the country, How is this any different from the robber barons of old who's one overriding desire was to eradicate the competition in order to have the power to control the market? If as Lysander Spooner stated "The principle that the majority have a right to rule the minority, practically resolves all government into a mere contest between two bodies of men, as to which of them shall be masters, and which of them slaves"is (as it appears to be) true what other outcome is there? This is not an inability to govern, it shows a lack of interest to govern, it reduces the act of governance to one of charade.