First Principles Series Report posted February 25, 2015
Federalism and Freedom: Orestes Brownson’s Case for the Federal Constitution
Over the past 100 years, conservatives and Progressives have battled over the meaning and relevance of the U.S. Constitution. Many of these disagreements have focused especially on the relationship between the federal government and the states.
Progressives old and new have long dismissed states’ powers as annoying relics of a bygone era. Progressives assert that…
Issue Brief posted January 21, 2015
Replacing Medicare’s SGR: Four Bipartisan Options to Finance a Permanent Fix
The new Congress must stop irresponsible federal spending. This applies to replacing the Medicare Sustainable Growth Rate (SGR) formula that annually updates Medicare physician payment with a workable alternative.
In 2014, House and Senate negotiators, representing three major congressional committees, worked long and hard to hammer out a compromise SGR replacement…
Backgrounder posted December 8, 2014
The Affordable Care Act’s Mounting Budgetary Pressures
Throughout the development of their ambitious national health insurance plan, President Barack Obama and his congressional allies vowed that the sprawling new entitlement program would not worsen the government’s already disturbing fiscal outlook. “I will not sign a plan that adds one dime to our deficits,” the President had declared, “either now or in the future.” It…
Issue Brief posted November 20, 2014
Medicare’s SGR: Fixing It the Right Way, Not in a Lame Duck Session
Congress needs to junk the sustainable growth rate (SGR) formula that governs Medicare physician payment. Under the formula, if Medicare physicians’ payments in any given year increase by more than the economy’s growth, an automatic and proportionate reduction in their reimbursements is imposed the following year. Conceptually flawed and practically draconian, the formula…
Backgrounder posted October 30, 2014
A Fresh Start for Health Care Reform
Despite President Barack Obama’s insistence that the national health care debate is over, and that he will not “re-litigate” the misnamed Patient Protection and Affordable Care Act (PPACA), the practical concerns, aggravated by implementation glitches and policy failures, guarantee that the debate over the PPACA is far from over.
In the next phase of the health care…
Backgrounder posted September 4, 2014
Progress in Medicare Advantage: Key Lessons for Medicare Reform
Medicare Advantage (MA) is a program of competing private health plans. For the vast majority of senior citizens, it is the only viable alternative to enrollment in traditional Medicare. For Members of Congress, its record also provides valuable lessons for comprehensive Medicare reform.
MA is an increasingly attractive option for millions of senior and disabled…
Issue Brief posted August 1, 2014
The 2014 Medicare Trustees Report: A Dire Future for Seniors and Taxpayers Without Reform
The recently released annual Medicare trustees report reiterates a decades-old message: The Medicare program faces an unsustainable financial future. Unless the program is reformed, it will impose a huge financial burden on American taxpayers and jeopardize access to care for seniors.
While these facts are incontrovertible, the Obama Administration’s allies and some in…
Backgrounder posted April 28, 2014
Four Years of Obamacare: Early Warnings Come True
But we have to pass the bill, so you can find out what is in it, away from the fog of controversy.
—Nancy Pelosi, Speaker of the U.S. House of Representatives, March 9, 2010
It is not our job to protect the people from the consequences of their political choices.
—Chief Justice John Roberts, National Federation of Independent Business v. Sebelius, June 28,…