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experts in lobbying or experts at the regulations that require you to sort of get those contracts. And they're not
experts at doing the job of building these websites.
CLOUD: The main contractor behind the federal health exchange software is a global firm called CGI Federal,
which didn't want to speak to us for this story. Johnson says it's not that CGI or other contractors behind
healthcare.gov are bad, they're probably just not the best, because the best people at these tech solutions don't
bother applying.
JOHNSON: In order to fix these problems in the long term, what we've got to do is encourage the federal
government to open its doors to smaller, more agile vendors who are better at solving these larger problems.
HU: Johnson calls for simplifying the bidding process so more firms compete against incumbents, making
everyone up their game. He proposes starting small, with tiny contracts, because changing a deeply entrenched
contracting environment is a systemic, complicated and long-term challenge. For the shorter term issues with
health exchange signup, the White House message is this.
CARNEY: Well, we're not satisfied with the performance. We can do better.
HU: Despite her many failed attempts to sign up, Suzanne Cloud is staying hopeful.
CLOUD: Just calm down, be patient.
HU: It's a reminder she gives herself every day. She still hasn't completed her healthcare enrollment. Elise Hu,
NPR News, Washington.
State Health Exchanges: The Good, The Bad, And The Glitches
MELISSA BLOCK, HOST:
Suzanne Cloud, that jazz musician we just heard, lives in Pennsylvania, one of the majority of states using the
federal government's system for the new health insurance marketplace. And as we've just heard, the federal
system has been plagued with problems. But what about the 16 states and District of Columbia that decided to set
up their own insurance exchanges? How are they doing?
We're going to get a report card from Jocelyn Guyer. She's with the health policy consulting firm Manatt Health
Solutions. They advise states, foundations and businesses on understanding federal policy when it comes to
implementing the Affordable Care Act. Jocelyn Guyer, thanks for coming in.
JOCELYN GUYER: Thanks.
BLOCK: And let's talk first about some success stories. Which states seem to be doing pretty well?
GUYER: We've got a handful of states that are doing well. Kentucky is at the top of the list, but also Rhode
Island, Connecticut and New York are doing well. And then, to varying degrees we're seeing Minnesota,
Washington, Oregon also having relatively smooth rollouts.
BLOCK: Okay. Well, you put Kentucky at the top of that list. And let's talk about that. They've recorded 14,000
completed applicants, have about 7,000 people enrolled. What did Kentucky do right, as far as you can tell?
GUYER: Kentucky did a couple of things right. It was a little bit less ambitious about its website. It has fewer
bells and whistles than the federal site in some of the other states and so they were able to really focus in on the
quality and make sure that the site was running well and test it thoroughly.
The other thing is that the Kentucky site is run by an agency that includes all the key parties who have to be
involved - the Medicaid agency, the folks running their marketplace and the Human Resources agency, which
traditionally is responsible for some of the key tasks around figuring out who is eligible for coverage.
BLOCK: Well, let's talk about some of the states with problems, and in particular, let's talk about Maryland. It
was an early adopter of the marketplace. They've been working on the system for three years but they had a whole
lot of trouble when they started out last week. They had to delay the opening of the exchange, I think, for four
hours and then when it did open, lots more problems. So what went wrong there?
GUYER: A couple of things. Well, the first thing that happened is a good news story, which is, like the federal
exchange, Maryland had many more people seeking them out than they had expected. At the same time,
Maryland, like the federal exchange, also clearly has significant technology issues that it is working through and
confronting.
BLOCK: Right. And we've heard these described as glitches. It kind of reminds me of "The Princess Bride" when
Inigo Montoya says, you keep using that word. I do not think it means what you think it means. These sound like
more than glitches to me. These sound like fundamental problems with the site.
GUYER: I think of a glitch as you fly to Ohio and you forget your toothpaste. This is more like the airlines have
lost your luggage or they've cancelled your flight. These are more serious issues than glitches and we are seeing
them across the country.
BLOCK: And anything that ties this together, in terms of what is going wrong when people are not able to get
onto the system or once they get there, they can't get to where they need to go?
GUYER: I think part of what happened is that people anticipated that the really tricky part of this process would
be bumping up against the federal hub. And that's the system that helps states verify your income, makes sure that
you're a citizen or lawfully residing. And many states were very focused on making sure the connections to that
hub would go well.
In some respects, what's tripped them up has been what seems like it should have been an easier task, which is
making sure people could create accounts and then get their identity established. To me, in some respects, it's a
little bit like, you know, when I get my kids to finally do their homework over the weekend and then they forget
to turn it in.
BLOCK: When you look overall at how enrollment has gone in this first week, would you have expected to have
seen more people enrolled by now or is this about where you thought we'd be?
GUYER: Well, I would've expected to see more people enrolled, but I will say that we actually have - there's a
little bit of a hidden story, which is that some states are finding very efficient ways to sign people up for the
Medicaid coverage that's a key part of the Affordable Care Act. And there's states like Illinois, West Virginia and
Arkansas, and what they're doing is using information they already have on hand to identify people who are
eligible for Medicaid and then making it very easy for them to go ahead and sign up for that coverage.
And together, they've gotten close to enrolling over 100,000 people using those simplified enrollment strategies.
And that may be the hidden story of success from this first week or two.
BLOCK: Jocelyn Guyer with Manatt Health Solutions, a health policy consulting firm here in Washington.
Jocelyn, thanks.
GUYER: Thank you.
And, you know, they will have to answer in front of God. And then, at the same time, the different acts will be
judged. For example, the first thing that God will judge a person on will be their prayers. Did they pray to God?
Did they pray to only one god?
Whatever good deeds the person has versus their bad deeds, we believe that they will be put in a scale. So if the
good deeds outweigh the bad deeds, then, you know, they will be considered successful, whereas if the bad deeds
outweigh the good deeds, then they will be punished.
SIEGEL: Doesn't God already know the answers?
UMAR: He does know the answers but that just shows how just he is. To make the person comfortable to know
that, yes, we were actually judged in the court of God. If a person was punished, for example, in the hellfire
without even being judged by God, they may just be throw into the hellfire and they may think that, like, what is
this? But God actually judges each and every person. It just magnifies again the description of God, one of his
attributes being the just, the most just.
SIEGEL: Everybody gets a fair hearing in this.
UMAR: Yes. Correct.
SIEGEL: If you're sent to the hellfire is that a permanent sentence for eternity or can one escape it?
UMAR: You know, the only sin that Muslims believe is not forgivable by God is the sin of associating partners
with him. So, for those who committed many sins in this world, but they still had the belief in one God in their
heart, you know, they may face some time in the fire of hell, but eventually we do believe that it is possible to be
removed from the hellfire after serving a punishment.
There's actually a saying, again of the Prophet Muhammad, peace be upon him, which mentions that the last
person to be taken out from the hellfire who has just an atom's weight of belief in their heart, even the lowest of
paradise for that last person will be 10 times larger than this world, and its valuables will be 10 times more
valuable than everything contained in this world from its beginning until its end. So if that's the lowest paradise,
you know, one can just imagine how large the greatest paradise would be.
SIEGEL: There are many non-Muslims who have heard exactly one thing about Muslim expectations of the
afterlife, which is that those who die as martyrs enjoy the company of many virgins and paradise after death. Do
you believe in that?
UMAR: Anyone who dies as a true martyr in Islam, will, of course, enjoy the pleasures of paradise. And one of
the pleasures of paradise is, you know, maidservants, and any type of desire that one wants to fulfill in paradise,
one will get to enjoy. And this is what, you know, God has mentioned in the Quran. But again, when we're talking
about a martyr, you know, we're not talking about someone who has committed an act against, you know,
innocent people.
SIEGEL: Yeah.
UMAR: Or any - for example, a suicide bomber. This is not the belief in Islam at all. It's completely against the
teachings of Islam.
SIEGEL: Do you believe that in the afterlife we meet up with loved ones from this life?
UMAR: Yes, I do. For those of our loved ones who will be fortunate to be in paradise, you know, if we are
fortunate to be in paradise as well, each and every person will be entitled to his or her own paradise. While at the
same time, you know, they will be able to meet up with each other and just as in this world how, you know, a
group of friends gets together and sits down, has a nice conversation, inhabitants of paradise will be able to get
together and have these types of conversations, you know, in their palaces or in their abodes that God has
prepared for them.
There's a saying of the Prophet Muhammad that says that the prophet Adam was created at the height of 60 cubits,
which is about 90 feet.
SIEGEL: That's very big.
UMAR: Yeah, that's very big. So this will be the appearance of the inhabitants of paradise. They will actually be
that height.
SIEGEL: People will be giants, you say.
UMAR: Yes.
(LAUGHTER)
UMAR: Ninety feet tall.
SIEGEL: Yeah.
UMAR: Correct. And there will be an age of peak strength which, you know, they will remain that age for
eternity.
SIEGEL: Will there be Cardinals games in paradise to talk about?
(LAUGHTER)
UMAR: Again, you know, whatever the soul wishes for and desires in paradise, then that will be there. So if an
inhabitant of paradise asked God that, you know, can we have Cardinals games going on here in paradise, then
certainly God will, you know...
SIEGEL: Well, you might as well ask for season tickets at that point.
(LAUGHTER)
UMAR: Certainly. Anything that you can get, you know, in this world. But, you know, God is basically saying in
the Quran that there is a limit to one's imagination and what can think, because in paradise what one will be able
to see there is something that no heart can even think of. So you can just imagine...
SIEGEL: But here, Mufti, here there seems to be a contradiction I want you to resolve for me.
UMAR: Mm-hmm.
SIEGEL: Which is on the one hand you're saying the Quran would say what happens in the afterlife in paradise is
beyond imagination. On the other hand, you come away with rather detailed descriptions of it.
UMAR: Yes. I mean, see, in the Quran, God does give some descriptions of paradise. But even by the
descriptions, we can't imagine how the certain things that have been described in paradise, how beautiful they are.
Or we can't imagine how severe the torment of the hellfire is.
There are certain verses in Quran which describe, you know, torments of the hellfire, and some beautiful
descriptions of paradise. But even by those descriptions, we cannot imagine the true beauty of it until one actually
sees it.
SIEGEL: Well, Mufti Umar, thank you very much for talking with us.
UMAR: Thank you, Robert.
SIEGEL: Mufti Asif Umar, is the imam and religious affairs director of the Islamic Foundation of Greater St.
Louis. You can join our conversation about the afterlife on Twitter, Tumblr, Facebook, or Instagram using the
hashtag nprafterlife.
Sleigh Bells: Stomping The Fine Line Between Sweetness And Menace
ROBERT SIEGEL, HOST:
The musical duo Sleigh Bells makes music that is very noisy and very fun. Band members Alexis Krauss and
Derek Miller create hard-edged pop songs influenced by hip-hop, heavy metal, marching band rhythms and
stadium chants. Our music critic Will Hermes says their third album, "Bitter Rivals," both leans on what has
worked for them in the past and pushes their boundaries.
(SOUNDBITE OF MUSIC)
WILL HERMES, BYLINE: Formula can be a blessing and a curse. The Ramones had one that was so great they
were kind of trapped by it. Sleigh Bells' formula is breathtakingly great, too, and their third record reconfirms it.
(SOUNDBITE OF MUSIC)
HERMES: The group is still defined by brutal stomp-clap rhythms, guitar noise, over-modulated shout-singing
and Alexis Krauss' suburban, tough-girl persona. But this is album three, and on it, you can hear Sleigh Bells
fighting against their formula. It's a positive development. There's more melody, more singing, a lot of acoustic
guitar, although the instrument takes a beating, and some impressively bulked-up '90s-style R&B.
(SOUNDBITE OF MUSIC)
HERMES: Even more startling are the down-tempo songs, which somehow manage to sound both sweet and
menacing, like this one, titled "To Hell With You." It sounds like a '60s girl group conducting military drills.
(SOUNDBITE OF MUSIC)
HERMES: The upshot of this record is Sleigh Bells trying to figure out how to make their subversive pop music
actually pop without losing the subversiveness. It's a fine line and they are thoroughly stomping on it.
(SOUNDBITE OF MUSIC)
SIEGEL: The new album by Sleigh Bells is called "Bitter Rivals." Our critic, Will Hermes is author of the book,
"Love Goes To Buildings On Fire."
(SOUNDBITE OF MUSIC)
SIEGEL: Let us know what you like about the program and what you don't like. You can write to us at NPR.org.
Just click on the work Contact at the bottom of the page.
MELISSA BLOCK, HOST:
And if you want to hear something again or catch up on what you've missed, it's all online at
NPR.org/AllThingsConsidered.
SIEGEL: And to follow our program and us on Twitter, I'm Robert Siegel @RSeigel47.
BLOCK: I'm @NPRMelissaBlock. Our co-host Audie Cornish is @NPRAudie.
SIEGEL: And the show is @NPRATC.
SIEGEL: So when these operas were first staged, people could expect great tunes but also some drama that
resonated with important concerns about life and society.
MAUCERI: Yeah. And those concerns were so important that the censors were always watching, and there were
sometimes what - we hear about riots or demonstrations of the public at some of those premiers because it was
provocative and it was about important issues.
SIEGEL: For Italians, is Verdi a latter-day Dante, Petrarch, one of the great Italians in the pantheon?
MAUCERI: Yeah. For Italians, there's no question that Verdi stands as the greatest composer they ever produced.
He's just the guy. He is just - equals music. And that is an extraordinary achievement. After all, the Italians
invented opera in 1598. They named it. So for them to choose one person to be on their money, to be the names of
their music conservatories says everything you might want to know about the Italian's attitude toward Giuseppe
Verdi.
SIEGEL: Is it true, really, that "Traviata" or "Aida" actually got bad reviews when they first came out?
MAUCERI: Oh, yeah. When I was a student in college, I did a paper on Verdi in New York, and I went into the
archives. And I read the reviews in The New York Times and the New York Herald of the day after the first
"Traviata," the day after the first "Macbeth," they are so condescending. And so they refer to him as Senor Verdi.
You know, there's a great review of "Macbeth," saying, you know, within the first five minutes, we realized that
Senor Verdi was totally incapable of encompassing Shakespeare's great play.
And, first of all, he was being reviewed as if it were an open - a musical by Andrew Lloyd Webber. That is the
only thing I could say is that it had the same vitriol that you sense with certain kinds of critics when they talk
about Broadway musicals. In other words, he was not Stephen Sondheim. He was Andrew Lloyd Webber. And it
would be as if Andrew decided to write a musical based on "King Lear," you know...
SIEGEL: So who was the Stephen Sondheim of those days? Who was the person who we thought was writing
great operas?
MAUCERI: That was a very good question. Generally, Wagner.
SIEGEL: Wagner, yeah.
MAUCERI: Yeah, yeah. Because he was serious. And that's why when - presumably the question was asked after
Wagner had written one of his tones on the theory of the theater, they - someone came up to Verdi and said,
Maestro Verdi, we've just read Maestro Wagner's books on the theory of the theater. Do you have a theory of the
theater? And Verdi took a moment and said, yes, I do. The theater should be full.
(LAUGHTER)
SIEGEL: Is there a particular moment from a Verdi opera which you've called upon to present the single piece of
evidence that demonstrates what this man was all about and what he created that you would directly be visiting
music colleges from Mars to listen to?
MAUCERI: Well, that's, of course, a hard question. But what comes to mind is the central moment of the first
scene of act two of "La traviata"
(SOUNDBITE OF OPERA, "LA TRAVIATA")
UNIDENTIFIED MAN: (Singing in foreign language)
UNIDENTIFIED WOMAN: (Singing in foreign language)
UNIDENTIFIED MAN: (Singing in foreign language)
litigation, and at the minimum, it would make people buying Treasury bills nervous. At this moment, Obama was
scheduled to be in Asia, attending some important trade summits. He called off that trip to deal with these crises.
And he said that kind of last minute cancellation does real damage to American credibility abroad.
OBAMA: In the same way that a CEO of a company, if they want to close a deal, aren't going to do it by phone,
you know, they want to show up and look at somebody eye to eye and tell them why it's important and shake
hands on a deal, the same thing is true with respect to world leaders.
SHAPIRO: Obama said the U.S. can bounce back from this sort of thing once or twice, but not all the time.
OBAMA: And to all the American people, I apologize that you have to go through this stuff every three months,
it seems like. And Lord knows I'm tired of it.
SHAPIRO: Sounding rueful, he said, at some point, we've got to break these habits. Ari Shapiro, NPR News, the
White House.
but it has the consequence of limiting how many candidates an individual can support. How can it be that you can
give the maximum $5,200 to nine candidates, but not 10? Is there any way to get around that problem?
Solicitor General Verrilli observed that Mr. McCutcheon is only limited in direct contributions to campaigns. He
can spend as much of his considerable fortune as he wants to independently advocating for the election of more
candidates. Justice Scalia: If gratitude is corruption, don't these independent expenditures evoke gratitude?
Verrilli replied that the court, for nearly 40 years, has drawn the legal lines this way, distinguishing between
independent expenditures and direct contributions.
Justice Kennedy, incredulous: So your answer is that's the law? Justice Kagan puckishly poked her conservative
colleagues on that point. I suppose that if this court is having second thoughts about its rulings, that independent
expenditures are not corrupting, we could change that part of the law. Nobody in the court chamber thought
Justice Kagan was seriously expecting that to happen.
Nina Totenberg, NPR News, Washington.
planned to attend. Simon Tay notes President Xi even became the first foreign leader to address Indonesia's
parliament.
TAY: Which is ironic because in the last 10 years, Indonesia has become a compelling story for democracy. And
rather than having the U.S. leader be the first person to address that joint house, it has been the Chinese.
LANGFITT: Secretary of State John Kerry has come to Asia in Mr. Obama's place. At a speech yesterday at
APEC, he opened with a joke.
SECRETARY JOHN KERRY: In 2004, obviously, I worked very, very hard to replace a president. This is not
what I had in mind.
(LAUGHTER)
LANGFITT: Mr. Kerry then insisted the political stalemate back home had no bearing on America's
commitments here.
KERRY: No one should mistake what is happening in Washington as anything more than a moment of politics.
LANGFITT: Ernie Bower focuses on Southeast Asia at the Center for Strategic and International Studies in
Washington. He says despite concerns here, the United States can and should become more engaged in Asia.
ERNIE BOWER: I'm confident for a couple of reasons. One, just the geopolitical math is compelling. Asia is
where the majority of our trade is coming. It's the largest growth region in the world.
LANGFITT: And for all the gloomy talk, the U.S. is still the world's dominant military power. Bower thinks
America's engagement in Asia ultimately depends on political will. And if President Obama can make it back
here on another trip, well, that would probably go a long way. Frank Langfitt, NPR News, Shanghai.
Ups And Downs In Oil And Gas But Gas Remains A Cheaper Heat
MELISSA BLOCK, HOST:
You're listening to ALL THINGS CONSIDERED from NPR News. For many parts of the country, winter has
already struck and struck hard. Residents in those areas have started turning up their thermostats and according to
federal predictions, they're likely to notice an increase in how much it costs to heat their homes. As Fred Bever
from member station WBUR reports, after years of natural gas being the cheapest heating option out there, the
price is starting to go up.
FRED BEVER, BYLINE: Federal forecasters say temperatures this winter will probably be similar to last year's
although slightly warmer in the West and slightly cooler in the East. Michael Halpert is deputy director at the
federal Climate Prediction Center. He says there are no big weather patterns developing that would change the
winter outlook.
MICHAEL HALPERT: Things such as the El Nino or La Nina phenomena. Right now, we have neutral
conditions. We've had neutral conditions now for well over a year, and it looks like that's going to continue.
BEVER: OK. So that's good for stability in heating bills. But it's not just about how often the furnace fires up. It's
also the cost of the fuel that keeps it stoked. Take oil for instance.
JULIUS WALKER: We can see the supply tightness easing.
BEVER: Julius Walker is the senior energy markets strategist at UBS Investment Bank. He says oil supplies were
limited through late summer by unrest in the Middle East and labor strikes in Libya. But that's changing.
WALKER: Libya in itself - Libyan production, at least in the west of the country, is recovering. We're seeing
some more Sudanese oil supplies reach global markets, and we're seeing continued strength in outputs of U.S.
shale oil and other sources of supply.
BEVER: So that looks good too. Walker is expecting a pullback in crude oil prices, and federal economists are
predicting about a 2 percent cost reduction for homes that heat with oil. It's a different story for natural gas, which
is used in more American homes than any other heating fuel.
Tancred Lidderdale is senior economist at the federal Energy Information Administration, which issued today's
forecasts.
TANCRED LIDDERDALE: So over the last four years, gas prices have been falling and reached a bottom as
natural gas production boomed. Now, actually we see gas prices turning around, starting to rise slowly, and that's
contributing to higher gas prices this winter.
BEVER: Still, even with a predicted 13 percent increase in the cost of heating a home with natural gas, it remains
much more efficient and cheaper than burning oil for heat.
GEORGE PATON: I want to go all the way to 3.5.
BEVER: Which brings us here, to the boiler room of the century-old Hyde Mansion, near the coast of Maine. It's
now a boarding school, and George Paton is the facilities manager. He says until just last year, the campus was
heated by oil.
PATON: It was state of the art in 1913 so...
BEVER: The Hyde School's heating system is state of the art again, with a brand new natural gas-fired furnace.
Paton says the makeover was an easy sell to the school's trustees once they realized that the $200,000 cost of the
retrofit would be immediately paid back by equal savings on lower natural gas prices.
PATON: They're savvy business people. They said, a one-year payback? Let me think about that for a minute.
OK. Let's go. You know, I mean, it's turned out very well.
BEVER: Even with higher natural gas prices this year, the school's heating fuel bill will be about half of what it
was. And according to a long-term federal forecast that extends to 2040, heating with natural gas likely will never
again be as expensive as oil. For NPR news, I'm Fred Bever.
(SOUNDBITE OF MUSIC)
ROBERT SIEGEL, HOST:
This is ALL THINGS CONSIDERED from NPR News.
BRUMFIEL: But in the midst of all this, where is Peter Higgs? His personal assistant, Alan Walker(ph), says he
doesn't know.
ALAN WALKER: My assumption is he is somewhere in Scotland.
BRUMFIEL: At an undisclosed location?
WALKER: Well, it's a location I don't know.
BRUMFIEL: Walker says Higgs doesn't like the limelight. He hasn't told anyone where he is. It's even possible he
doesn't know he's won the prize.
WALKER: And I don't know whether he has a radio with him. He certainly doesn't use a mobile phone, unless
he's got one without my knowledge. And he may well be somewhere which may or may not have a TV, so who
knows?
BRUMFIEL: But if Higgs doesn't know he's won, he'll find out soon. The University of Edinburgh had already
scheduled a press conference for Friday, just in case. Peter Higgs has promised to be there. Geoff Brumfiel, NPR
News.