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  • Backgrounder posted December 20, 2013 by James C. Capretta, Kevin D. Dayaratna, Ph.D. Compelling Evidence Makes the Case for a Market-Driven Health Care System

    The United States does not have a private-sector health insurance system, let alone a functioning competitive market for insurance or health services. In fact, the federal government has been the dominant force in American health care for decades, long before the recent massive expansion of the government’s role in the 2010 Patient Protection and Affordable Care Act…

  • Issue Brief posted August 2, 2012 by James C. Capretta Obamacare Remains a Budgetary and Policy Disaster

    Following the Supreme Court’s decision on Obamacare, the Congressional Budget Office (CBO) issued an updated cost estimate for the law,[1] which unsurprisingly is not strikingly different from its previous estimates. Nonetheless, an examination of CBO’s latest findings, along with other evidence, makes it clear that Obamacare remains a budgetary disaster. What Can Be…

  • Issue Brief posted June 21, 2012 by James C. Capretta Obamacare’s Failings Go Well Beyond the Individual Mandate and Medicaid

    Obamacare is under review by the Supreme Court because of its constitutionally suspect provisions, namely the “individual mandate” and the coercive Medicaid provisions. Certainly, the Court would do the country an immense favor by striking down the entire law so the decks were cleared for a sensible, market-based reform plan. But in the event that the Court does not…

  • Backgrounder posted February 7, 2012 by James C. Capretta The Top Five Flawed Arguments Against Premium Support

    Abstract: The introduction of the bipartisan Wyden–Ryan premium support plan for Medicare ensures that reform of the government’s largest health entitlement program will continue to be a major topic of debate in 2012. With premium support, the federal government moves away from running a health plan and instead provides fixed levels of support for insurance plans selected…

  • Backgrounder posted September 12, 2011 by James C. Capretta The Case for Competition in Medicare

    Abstract: Rapidly rising Medicare spending is a major cause of the federal government’s budget problems. Proposals to reform Medicare and slow its spending fall into one of two categories: more government micromanagement or empowerment of health care consumers in a functioning marketplace. Those who promote top-down spending controls optimistically assume that federal…

  • WebMemo posted September 9, 2011 by James C. Capretta Congress Should Not Undermine What Works in the Medicare Drug Benefit

    Over the past several years, one small corner of America’s vast entitlement superstructure—the Medicare drug benefit—has been working well, satisfying program participants, and holding cost growth to a bare minimum. This is unheard of in the entitlement arena, where cost overruns are the norm. Naturally, encountering that kind of success, some politicians—especially those…

  • WebMemo posted January 21, 2011 by James C. Capretta, Kathryn Nix Obamacare and the Budget: Playing Games with Numbers

    The federal government’s finances were dismal even before the Patient Protection and Affordable Care Act (PPACA) was enacted. That is why lawmakers who pushed for its passage felt compelled to try to calm worried Americans by claiming that the law would cut projected federal budget deficits in addition to covering the uninsured.[1] And, in fact, the Congressional…

  • WebMemo posted January 20, 2011 by James C. Capretta Obamacare and Medicare Advantage Cuts: Undermining Seniors’ Coverage Options

    Medicare Advantage (MA) plans are private insurance options available to Medicare beneficiaries. The Patient Protection and Affordable Care Act (PPACA)[1] cuts deeply into the projected payments to MA plans. Millions of Medicare beneficiaries enrolled in MA plans, or who would have been enrolled if not for the cuts, will experience very substantial reductions in the value…

  • Backgrounder posted December 13, 2010 by Robert E. Moffit, Ph.D., James C. Capretta How to Fix Medicare: A New Vision for a Better Program

    Abstract: Medicare is the government health insurance program on which the vast majority of America’s senior and disabled citizens rely. The program has no spending limits—despite its price controls and central planning— and, as currently designed, is simply unsustainable. All future taxpayers and retirees deserve to have good and reliable health insurance (federal…

  • Backgrounder posted September 14, 2010 by Robert A. Book, Ph.D., James C. Capretta Reductions in Medicare Advantage Payments: The Impact on Seniors by Region

    Abstract: The Patient Protection and Affordable Care Act substantially alters Medicare Advantage and, as a consequence, reduces the access of senior citizens and the disabled to quality health care by restricting and worsening the health care plan options available to them. Lower-income beneficiaries, Hispanics, and African–Americans will bear a disproportionate share of…

  • Backgrounder posted July 22, 2010 by James C. Capretta, Brian M. Riedl The CLASS Act: Repeal Now, or Face Permanent Taxpayer Bailout Later

    Abstract: Proponents of Obamacare claim that it will simultaneously provide millions of Americans with health insurance and reduce the budget deficit by hundreds of billions of dollars. Yet Obamacare’s proclaimed budgetary discipline rests on unlikely assumptions and budget gimmicks—none worse than the CLASS Act, a national long-term-care insurance program. CLASS is…

  • WebMemo posted June 2, 2010 by James C. Capretta The Debt Commission, Health Care, and Obama’s Budgetary Game Plan

    When the President’s National Commission on Fiscal Responsibility and Reform (commonly referred to as the “debt commission”) held its first official meeting in April (the second meeting was held last week), all of the talk was of getting serious about putting the nation’s fiscal house in order and that everything would be “on the table” for consideration.[1] …

  • WebMemo posted June 1, 2010 by James C. Capretta Obamacare: Impact on Future Generations

    President Obama and other proponents of the recently passed health care law argue that the legislation was desperately needed to improve the nation’s health system for both today’s citizens as well as future generations. But there are many reasons to be concerned that this new law will instead deliver both a lower quality health system and more costly and burdensome…

  • Mark Levin Quotes Jim Capretta on Obamacare Audio Recorded on April 1, 2010 Mark Levin Quotes Jim Capretta on Obamacare

    Mark Levin reads a blog post by Jim Capretta in his discussion of Obamacare.…

  • Jim Capretta on Health Care Reform on The Michael Medved Show Audio Recorded on March 15, 2010 Jim Capretta on Health Care Reform on The Michael Medved Show

    Jim Capretta discusses current health care reform legislation on The Michael Medved Show.…