Good question!

Unlike the real world, where managers and employees are judged on results and held accountable for their performance, in Washington, D.C., loyalty and partisanship almost always come first. Accountability comes later, if it comes at all.

Sebelius’ department had 3½ years to prepare to implement the Affordable Care Act. No one ever suggested that commandeering one-sixth of the American economy would be an easy task. (Many Republicans suggested the opposite and were dismissed as killjoys for their efforts.) But after the debacle of the last two weeks, liberals and Democrats—not conservatives or Republicans—should be calling for Sebelius’s head.

The administration’s handling of the implementation of Obamacare over the past three years has been a slow-moving train wreck: a mixture of embarrassing delays, hard-to-justify waivers, and assorted bad news about the unintended consequences of the law.