Outrage Fatigue -- And the Question of Exemptions from Surveillance Returns

I watched a bit of the Sebelius hearing yesterday, and oh, my, weren't the bull-Rs in a high dudgeon, though? Geepers, creepers. Ms Sebelius handled it like a pro, but from what I saw of it, the whole thing was pretty scripted for the cameras, there wasn't really much of anything said that wasn't already on the pre-distributed crib sheets and talking points  -- ie: the Propaganda -- from either side, so I got to wondering just what this cock up of a Health Insurance Launch was really all about.

The website is apparently somewhat functional for some people some of the time; there are alternative means of getting coverage, though, so the website issue isn't the biggest deal, certainly not as big a deal as has been made of it since the re-opening of the Government by relenting Rs.

No, the screaming about the website is for show, and it's probably less interesting than the underlying shift that I see going on, the sort of background churning, by which health insurance/health care costs are rising dramatically for many users and customers, while for others costs are being reduced, sometimes significantly. In other words, there is a cost increase and a cost shift going on simultaneously, such that profits will be guaranteed in perpetuity to the carriers and the providers, while costs for users will be distributed "fairly" among the population as a whole.