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  • 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…

  • 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 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…

  • 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…

  • Commentary posted December 4, 2009 by Stuart M. Butler, Ph.D. Don't Hold Your Breath

    Congress is counting on a ton of savings from home health care to finance its costly coverage expansion. That sector got hit because, unlike big pharmaceuticals or the American Medical Association, it doesn't have a seat at the bargaining table. The House bill projects almost $57 billion, while the Senate is eyeing $42 billion. That's roughly 10 percent of all the…

  • Commentary posted November 20, 2009 by Stuart M. Butler, Ph.D. New Bankruptcy Policy Can Avoid Mass Bailouts

    Maybe we can breathe a collective sigh of relief -- now that we've dodged the bullet of a catastrophic collapse of America's entire financial system. But how do we avoid a possible repeat performance? To be sure, we need to revive and reform the housing market. Fortunately, lenders have stopped giving huge mortgages to practically every would-be borrower with a…

  • WebMemo posted November 16, 2009 by Stuart M. Butler, Ph.D. Bipartisan Entitlement Commission Needed to Control Spending and Debt

    A bipartisan group of seven Senate Budget Committee members, including Chairman Kent Conrad (D–ND) and ranking member Judd Gregg (R–NH), have declared that they will refuse to support an increase in the debt ceiling unless a bill to create a bipartisan fiscal reform commission is included. They see such a commission as essential to tackling the coming tsunami of…

  • Commentary posted October 23, 2009 by Stuart M. Butler, Ph.D. Hill is Above the (Labor) Law

    Most Americans think that all citizens should have the same rights and privileges, and that the same laws should apply equally to all. So it is that the president has just one vote in any election, as does the grocery clerk. And the Treasury secretary or chairman of the Ways and Means Committee must pay taxes just like anyone else (well, more or less). But one…

  • Commentary posted October 9, 2009 by Stuart M. Butler, Ph.D. Bank the Bucks First

    A classic "Saturday Night Live" skit sums up much of what's wrong with the financing part of health care reform and gives a clue how to fix it. At a typical kitchen table, debt-burdened Steve Martin and Amy Poehler are trying to figure out their finances. Suddenly, a salesman shows up with the solution: a book titled "Don't Buy Stuff You Cannot Afford." Its…

  • Commentary posted September 25, 2009 by Stuart M. Butler, Ph.D. COOP D'etat: An Acronym Does Not a Co-Op Make

    "When I use a word," says Humpty Dumpty in Lewis Carroll's "Through the Looking Glass," "it means just what I choose it to mean." Members of Congress have this down to a fine art. Take the health care legislation recently introduced by Sen. Max Baucus, Montana Democrat and Finance Committee chairman. Some say the senator made a bold decision in not including a…