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  • 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…

  • Commentary posted August 22, 2012 by Stuart M. Butler, Ph.D. Time for a Serious National Debate About Medicare Reform

    With Rep Paul Ryan (R, Wis) now Governor Romney’s running mate, Medicare reform is front and center in the election debate. This development could provide a chance to have a serious national debate about the program. But it could also mean any chance of a real conversation is drowned out by political hysteria and attack ads. Let’s hope a real debate takes place. If…

  • Commentary posted July 18, 2012 by Stuart M. Butler, Ph.D. How Can We Spur Organizational Innovation to Fix US Health Care?

    The American health system is among the most innovative in the world. We are at the leading edge in developing breakthrough drugs, inventing effective and less invasive surgeries, and tackling cancer. But we seem to fall down flat in one area—achieving the kind of organizational innovation in the health care industry that we take for granted in virtually every other…

  • Commentary posted April 13, 2012 by Stuart M. Butler, Ph.D. The Debate Over How to Rein in Medicare Costs

    As we wait for the Supreme Court to rule on the health reform law’s mandate that all US individuals purchase health insurance, it’s a good time to turn our attention to other core elements of reform that will be debated hotly during this election year and beyond. One of these is Medicare—in particular, whether the program should be subjected to a real budget and, if so,…

  • Center for Policy Innovation Lecture posted February 7, 2012 by Stuart M. Butler, Ph.D. Six Key Elements of Medicare Premium Support Proposals

    Abstract: “Premium support” proposals to reform the Medicare program have a long and bipartisan history. The basic idea, which would provide beneficiaries with a financial contribution to purchase Medicare coverage, has been developed and refined over more than 15 years. While versions differ in detail, they contain several core elements. The idea of premium support…

  • Center for Policy Innovation Lecture posted November 22, 2011 by Stuart M. Butler, Ph.D. How to Think About Medicare Reform

    Abstract: With Medicare facing a bleak fiscal future, and because the program is a major factor in the enormous federal deficit and long-term debt, there needs to be structural reform. The way forward is to (1) require the program to operate under a real, long-term budget based on “premium support”; (2) add catastrophic protection; (3) convert fee-for-service Medicare…

  • Play Movie Stuart Butler on Saving the American Dream on Lou Dobbs Video Recorded on May 9, 2011 Stuart Butler on Saving the American Dream on Lou Dobbs

    Stuart Butler discusses Heritage's Saving the American Dream plan on Lou Dobb's television program.…

  • Play Movie Stuart Butler and Alison Fraser on Saving the American Dream Video Recorded on May 9, 2011 Stuart Butler and Alison Fraser on Saving the American Dream

    Alison Fraser and Stuart Butler comment on Heritage's Saving the American Dream budget plan on Fox News.…

  • Center for Policy Innovation Lecture posted March 8, 2011 by Stuart M. Butler, Ph.D. Should the Disadvantaged Be Spared from the Budget Axe?

    Abstract: If America fails to deal with its long-term fiscal problem in sensible ways that spur economic growth and strengthen the economy, the poor will ultimately take the biggest hit. Thus, any conversation about spending, program reform, and tax policy has to be seen in this context: not as an accounting measure, but as a dynamic economic issue that will have…

  • Commentary posted January 19, 2011 by Stuart M. Butler, Ph.D. The Wyden–Brown Bill — Short on State Flexibility

    Click here to read the article in the New England Journal of Medicine.…

  • Commentary posted November 12, 2010 by Stuart M. Butler, Ph.D. The Debt Commission Chairmen’s Surprising Hidden Agenda

    The sweeping proposal unveiled by the co-chairs of President Obama’s debt commission has left Washington insiders scratching their heads. If Erskine  Bowles and former-Senator Alan Simpson were seeking a compromise that would win commission approval and have a chance in Congress next month, why didn’t they craft a modest package with pre-arranged buy-in? Why offer a…

  • Commentary posted July 14, 2010 by Stuart M. Butler, Ph.D. An Arms-Control Approach to Deficit Reduction

    If President Obama really wants to get the long-term deficit under control, he should replace his White House budget strategists with arms control experts. It's not that the deficit threatens to spark a nuclear holocaust. But the way that arms controllers approach negotiations could prove quite useful in addressing the deficit. Here's why. Arms controllers…

  • Commentary posted February 25, 2010 by Stuart M. Butler, Ph.D. Risking Big Changes with Small Reforms

    (Article originally written for the New England Journal of Medicine ) As the prospects for health care reform ebb and flow by the day, one school of thought holds that making modest adjustments rather than enacting large-scale reform could help to avert controversy and command more broad support. Perhaps --but…

  • Commentary posted February 3, 2010 by Stuart M. Butler, Ph.D. Risking Big Changes with Small Reforms

    As the prospects for health care reform ebb and flow by the day, one school of thought holds that making modest adjustments rather than enacting large-scale reform could help to avert controversy and command more broad support. Perhaps -- but seemingly modest changes could also unleash huge pressures that would profoundly alter the system’s future structure and…

  • Play Movie Stuart Butler discusses the Health Care Bill on WETA Video Recorded on January 15, 2010 Stuart Butler discusses the Health Care Bill on WETA

    Stuart Butler discusses how Unions are exempt from the tax on the Health Care Bill on WETA…