• Heritage Action
  • Heritage Libertad
  • More
  • Backgrounder posted May 20, 2013 by Robert E. Moffit, Ph.D., Alyene Senger 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…

  • Commentary posted May 19, 2013 by Robert E. Moffit, Ph.D. Physicians Will Flee System Under Affordable Health Care Act

    Among President Obama’s broken promises, there is this gem of June 15, 2009: “No matter how we reform health care, we will keep this promise: if you like your doctor, you will be able to keep your doctor. Period.” That promise helped sway the American Medical Association to back the president’s Affordable Care Act, commonly known as Obamacare. But the AMA endorsement…

  • Commentary posted May 6, 2013 by Matthew Spalding, Ph.D., Stuart M. Butler, Ph.D. Opportunity Conservatism

    A robust debate is under way about the future of conservatism, and there are plenty of lessons to be learned from the 2012 election and current trends in American politics. Unfortunately, the conversation so far has largely consisted of calls for modifying basic conservative positions, especially on social policy, and for targeting government spending and programs to…

  • Commentary posted April 23, 2013 by Robert E. Moffit, Ph.D. The Obamacare Train Wreck Three Years In

    Obamacare is in trouble, a victim of its own complexity. Enacted in 2010 as a 2,700 page bill, the law called for the creation of more than 150 new federal boards, commissions, panels and programs. It has spawned more than 20,000 additional pages of regulation so far—and that’s after only three years of an eight-year implementation schedule. Welcome to the…

  • Issue Brief posted April 11, 2013 by Robert E. Moffit, Ph.D., Rea S. Hederman, Jr. 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. [1] The Medicare savings embodied in President Obama’s Fiscal Year 2014 budget proposal—mostly from…

  • Commentary posted April 3, 2013 by Stuart M. Butler, Ph.D. Is Medicaid Expansion Really a No-Brainer for States?

    Even after the Supreme Court struck down a requirement of the Affordable Care Act (ACA) that required states to expand Medicaid coverage to low-income individuals,* states still seemed to have a juicy carrot to do so. That’s because 100% of the extra cost for states will be met by Uncle Sam for the first 3 years, starting in 2014. And although the federal share of costs…

  • Commentary posted March 25, 2013 by Stuart M. Butler, Ph.D. Providing Affordable Service is Best Left to the Private Sector

    The debate about health care in America unfortunately obscures some important areas of agreement. But the noise also masks some fundamental differences of opinion about the role of government in health care. Let's start with areas of agreement. Polls show clearly that most Americans believe that every lawful resident of this country should be able to count on some basic…

  • Backgrounder posted March 22, 2013 by Robert E. Moffit, Ph.D., Alyene Senger 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…

  • Backgrounder posted March 22, 2013 by Robert E. Moffit, Ph.D., Alyene Senger Medicare’s Outdated Structure—and the Urgent Need for Reform

    Traditional Medicare, which liberals once envisioned as the foundation for national health insurance for all ages,[1] is a fee-for-service model rooted in the 1960s. Its outdated structure makes the program fundamentally flawed, as the editors of The Washington Post remarked recently: “Medicare as we know it is not sustainable” and the “ultimate solution” is structural…

  • Backgrounder posted March 21, 2013 by Robert E. Moffit, Ph.D., Alyene Senger Medicare’s Demographic Challenge—and the Urgent Need for Reform

    Americans should ignore false promises to keep “Medicare as we know it”—the program is already changing. Under the misnamed Patient Protection and Affordable Care Act of 2010, Congress and President Barack Obama have already enacted big reductions in Medicare funding (amounting to $716 billion over the next 10 years[1]), as well as complex new rules governing federal…

  • Issue Brief posted March 18, 2013 by Robert E. Moffit, Ph.D. Medicare Drugs: Why Congress Should Reject Government Price Fixing

    Senator Patty Murray (D–WA), chair of the Senate Budget Committee, is offering a budget resolution claiming $275 billion in health care savings, though she provides few details.[1] But Senator Amy Klobuchar (D–MN) has introduced legislation (S. 117) that would replace today’s private-sector negotiation of Medicare drug prices with government “negotiation.” This approach…

  • Commentary posted March 15, 2013 by Stuart M. Butler, Ph.D. Building a Savings Culture to Generate Wealth

    Note: This article first appeared March 15, 2013 in Spotlight on Poverty and Opportunity. A recent YouTube video called “Wealth Inequality in America” has received millions of views and a number of responses from across the ideological spectrum. Created by "Politizane," this video was inspired by a study by economists Dan Ariely at Duke University and Michael L. Norton…

  • Center for Policy Innovation Lecture posted March 14, 2013 by Robert E. Moffit, Ph.D. Confronting Washington's Administrative State: A Renewed Role for the States

    While the Constitution continues to be read, and its principles known, the States must, by every rational man, be considered as essential component parts of the Union; and therefore the idea of sacrificing the former to the latter is totally inadmissible. —Alexander Hamilton, 1788 [1] Federalism is rooted in the knowledge that our political liberties are best assured by…

  • Center for Policy Innovation Discussion Paper posted February 6, 2013 by Diane Calmus The Long-Term Care Financing Crisis

    The Obama Administration’s suspension of the Community Living Assistance Services and Supports (CLASS) Act provisions of the Affordable Care Act halted a new federal entitlement program that was fiscally unsound. The repeal of the CLASS Act as part of the American Taxpayer Relief Act provides an opportunity for a necessary discussion. The debate over the CLASS Act…

  • Commentary posted January 16, 2013 by Stuart M. Butler, Ph.D. Are Health Costs Really Slowing

    A recent report from the actuaries at the Centers for Medicare & Medicaid Services (CMS) has the Washington community all atwitter because it may suggest that health costs are permanently slowing down. The CMS team found that health spending slowed in 2011 for the third year, growing no faster than the rest of the economy. Health spending as a proportion of gross…