Kathleen Sibellius' term as HHS Secretary has been a disaster according to Newt Gingrich. But I have to disagree with Nick Gillespie that we deserved better than Sibellius' incompetence. We don't deserve better. This is what we've chosen, Democrats and Republicans, over the course of decades.
Inefficiency and incompetence can strike everywhere. In a large, bureaucratized environment, humans are particularly vulnerable to these problems. Exceeding our government oversight capacity by growing government to its present size increases our vulnerability even more because fundamentally the fear of bankruptcy and ruin makes private oversight about 2% better, project after project, year after year.
Every little two bit program that is solving a problem publicly that could have been solved privately sucks up oversight time that should have been focused on the roll out of the ACA. This sort of oversight failure of a big government project is guaranteed to happen again. That's the nature of humanity. But it doesn't have to happen so often. We've grown our government so large that I would say it's guaranteed to be happening right now. It just hasn't been discovered yet.