Some Democrats hope that ObamaCare, by failing, would lead to a single-payer (that is, government monopolized) healthcare system.

For a hint of what that would turnout:

And that sort of a backlog has Democrats worried. POLITICO brings us up to date:

Rep. Jim McDermott (D-Wash.) is sounding the alarm this morning about a massive backlog within the Office of Medicare Hearings and Appeals. The 357,000-appeal clog delays providers from having their cases heard for longer than two years, McDermott noted in a letter to HHS Secretary Kathleen Sebelius. ” “The agencies must review their administrative procedures and act now to protect seniors who are struggling to get Medicare payment appeals addressed,” he wrote. He argued that problems with recovery auditors have been identified as the leading cause of the backlog.

McDermott’s letter in full can be found here. This sort of a problem is also visible in another government run health care system. VA currently has almost 400,000 disability claims pending. It claims to be on track to erase that in 2015, but observers are skeptical of that claim.  While it claims to have shed 200,000 previously backloged claims, new claim backlog numbers continue to rise.

The fact is, both of these programs are bureaucratic nightmares. Reading McDermott’s letter (he is the ranking member on the Ways and Means Subcommittee on Health), it is clear that the system in place is both inadequate and ineffective. It is also clear that it is subject to micro-managing by Congress, especially Democrats who are more and more worried about the impact of health care problems on their re-election prospects this November.