Discover and read the best of Twitter Threads about #AdministrativeBurdens
Most recents (3)
Bureacracies tend to be bad at new things, get better over time if given stable goals. That's what has happened with the ACA. Huge new task, bad rollout, but learning led to improvement. But hard to get better if org leaders want policy to fail & actively create problems 1/
This is one basic difference between public and private organizations. Sometimes public organizations are led by people who oppose the underlying mission. As Terry Moe has put it, public orgs rely on political rationality, not technical rationality 2/
There are some basic norms about how far executive branch political leadership can undermine public goals. Basically, you can't violate statutory goals. But that is precisely what Trump admin has been doing with ACA 3/
#AdministrativeBurdens are when the barriers stop people from programs they are entitled to. The majority of those eligible had not even logged into the system by last week.
.@CMSGov approved these waivers, but does not plan on evaluating them. So its pretty important that someone is documenting the problems people are facing with red tape in trying to keep their health insurance arkansasonline.com/news/2018/jul/… 
Even those who the state has determined are exempt from new work requirements still have to log on to the state website OR LOSE THEIR HEALTH INSURANCE.
Fascinating long-read that parallels US experiences: Blackpool with increasing antidepressant use, mental health problems and citizens struggle to negotiate burdens associated with benefit-claiming.
As with US SSDI, being classified as too unwell to work has replaced traditional welfare. But thats an ambiguous category; lots of denials that are then subsequently overturned when claimants get some help from local charities.
State wants proof of incapacity, but its inherently hard to provide; claimants want to keep benefits. The result: too much time and energy spent negotiating the #administrativeburdens around benefits, not enough on providing help to get their lives back in order (h/t @abwhitford)
