Center for Policy Innovation Discussion Paper posted October 4, 2013
How to Think About Long-Term Care
Washington’s dizzying debate over the rising costs of huge federal entitlements, record spending, and dangerous debt obscures America’s next and perhaps most difficult challenge: the financing and provision of long-term care.
Long-term care encompasses a broad and complex spectrum of medical and social services for frail and elderly Americans, or persons with…
Backgrounder posted September 26, 2013
Obamacare’s Insurance Exchanges: “Private Coverage” in Name Only
Let’s be clear about the fact that nobody has proposed anything close to a government takeover of health care.
—President Barack Obama, August 20, 2009
Millions of Americans are expected to enroll in Obamacare’s national system of health insurance exchanges. And, for those seeking—or forced—to buy health insurance through these exchanges, the coverage will be…
Backgrounder posted August 2, 2013
Congress in the Obamacare Trap: No Easy Escape
High anxiety is gripping Capitol Hill. The reason: On January 1, 2014, Members of Congress and their staff will lose their current employment-based health insurance and will instead be offered coverage in the health insurance exchanges established under the new health care law.
In April, Politico reported that “Congressional leaders in both parties are engaged in…
Lecture posted June 25, 2013
How to Limit Government in the Age of Obama
The Role of Congress
Joseph Postell, PhD: Limiting government in the age of Obama is a tall order, but it is a tall order not simply because of who occupies the White House. It is a tall order because it requires limiting government in the age of the administrative state, which stacks the deck against those hoping to place limits on government.
To mount an effective…
Backgrounder posted May 23, 2013
The Obama Medicare Agenda: Why Seniors Will Fare Worse
Today’s seniors are facing higher Medicare costs. Over the next five years, current law, as amended by the Patient Protection and Affordable Care Act (PPACA, also known as Obamacare), already guarantees higher out-of-pocket costs for today’s seniors. Beyond the current law, the President’s latest budget proposal would increase seniors’ costs even more. So, notwithstanding…
Backgrounder posted May 20, 2013
Real Medicare Reform: Why Seniors Will Fare Better
Medicare reform based on a defined-contribution system of financing—commonly referred to as a “premium support” system—could slow or even reverse the growth in seniors’ annual premium costs.
Medicare Advantage (Part C), a system of private, competing plans, and Medicare Part D, the drug program, are, in effect, premium support programs. In basic structure, they have…
Issue Brief posted April 11, 2013
Medicare Savings: 5 Steps to a Down Payment on Structural Reform
If we solve our healthcare spending (Medicare), practically all of our fiscal problems go away. If we don’t? Then almost anything else we do will not solve our fiscal problems.
- Dr. Victor Fuchs, Emeritus Professor of Economics, Stanford University, March 5, 2012. 
The Medicare savings embodied in President Obama’s Fiscal Year 2014 budget proposal—mostly from…
Backgrounder posted March 22, 2013
Medicare’s Rising Costs — and the Urgent Need for Reform
The rising cost of Medicare is placing an increasing burden on current and future taxpayers, as well as exacerbating the poor financial condition of a program on which America’s seniors depend in their retirement. The traditional program’s fee-for-service payment system, in which doctors and hospitals are paid a fixed price for each and every procedure or service that…