Crash and Logical have problems with research and reading comprehension.
Nowhere, did I blame Obama directly. I placed the blame on government bureaucracy and its inherent ability to configure a thing until it is almost incomprehensible, even to those in charge of application. For example, the IRS can easily give multiple opinions about the same tax questions.
Yes, the ICD-10 codes are used worldwide and have been for decades. Per Wiki, "The code set allows more than 14,400 different codes and permits the tracking of many new diagnoses. The codes can be expanded to over 16,000 codes by using optional sub-classifications."
Its our federal government that expanded the subsets to 155,000 from about 70,000. Thus, ensuring a complete muck of the mess. Teyates deals with the system regularly. I'd refrain from insulting one who has first hand knowledge and is paid per this system.
An elephant is a mouse designed to government specifications -- old WWII joke.