The idea of a CEO for Obamacare is so obvious that it is hard to believe there could be any disagreement. The Affordable Care Act is a huge endeavor that would test even the best CEO. The resistance from the administration as outlined in this Business Insider article reminds me of a startup CEO who won’t give up any control to his team. When this happens in a 50-person startup, it often causes serious issues that threaten the viability of the company. When it happens in an entity the size of the federal government, it is a recipe for disaster.