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FCW : November 15, 2013
20 November 15, 2013 FCW.COM Health IT But while Aadhaar has been achiev- ing relative success in its ambitious nationwide rollout in one of the most densely populated countries on the planet, HealthCare.gov is struggling to support daily Web traf c that many retail sites routinely handle. According to a study by market research company Millward Brown Digital, of the 3.72 million people who tried to register for services on HealthCare.gov from Oct. 1 to Oct. 5, only 32,000 were able to complete their enrollments. "HealthCare.gov was clearly unpre- pared to handle the huge spike in traf- c on Oct. 1, the start of open enroll- ment, [when] the site was visited by 0.9 percent (or one in 114) of every- one online in the United States," the rm said. "This is roughly equivalent to the daily traf c on Target.com." The company added that most people who tried unsuccessfully to access the site have given up. The Aadhaar system is not without its problems. It has come under re from India s supreme court because of privacy concerns and enrollment requirements, but technical issues do not appear to be crippling it. "Why would a far more complex sys- tem handling 30 times more citizens go live in 12 months from ground zero and within months handle a million enroll- ments a day?" asked Mashruwala, who retired as executive vice president and chief operating of cer at Tibco, a Sili- con Valley company that provides infra- structure software to handle big-data applications for companies such as Delta Air Lines, FedEx and Vodafone. "Jugaad is the operative word," he said, citing a colloquial Hindi-Urdu term that roughly means nding an innovative x or a simple workaround for a complex problem. According to Mashruwala, Aadhaar was adapted to practical real-world realities, and the U.S. system would do well to follow that example. For instance, he said enrollment in Aad- haar is generally kept off-line, although online enrollment is supported. "In a country with spotty high-speed networks, we could not rely on broad- band access to 60,000 mobile stations," he said. Mashruwala was skeptical of reports that HealthCare.gov was bogged down because it needed to do real-time checks against multiple systems out- side its control. "Personally, I doubt that in this age, integration can be an issue," he said. "It is most likely bad design, poor under- standing and overlooked testing." If the real-time checks are an issue, he recommended moving those inter- faces off-line and issuing nal con- rmation a day later, similar to how U.S. Customs and Border Protection approves applications for the Global "Personally, I doubt that in this age, integration can be an issue. It is most likely bad design, poor understanding and overlooked testing." Raj Mashruwala
October 30, 2013
November 30, 2013