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The scope of this failure demands changes at HHS — at least if Obama wants Americans to have trust in this system. Kathleen Sebelius’ top priority since March 2010 was preparing for the rollout of the ObamaCare exchanges, and yet they have all but collapsed, to the point that two successive weekends of patches can’t fix the issues. (The last patch was to add a button explaining how to use the call center rather than the website, but the call center can’t properly handle the requests, either.) HHS’s subsidiary agency Center for Medicare and Medicaid Services (CMS) and its administrator Marilyn Tavenner were responsible for developing and launching Healthcare.gov, but Obama didn’t mention either agency or its top executives in his speech. If Obama is “madder” than anyone, who is he mad at?