The Folly of Universal Child Care
It helped get progressive stalwart Bill de Blasio elected mayor of New York, and it resurfaces again and again in speeches by both Bernie Sanders and Hillary Clinton, but the Left’s dream of publicly funded child care is suddenly ...
Guide to the Senate Races, Louisiana Edition: Rep. Bill Cassidy (R) v. Mary Landrieu (D)
Though Louisiana is generally considered a Republican state for purposes of presidential elections, its politics are famously idiosyncratic, with power alternating between candidates who identify as reformers or populists, tendencies which can be found in both parties in Louisiana. Rep. ...
Guide to the 2014 Senate Midterms
There’s a lot of speculation about the chances of Republicans taking the Senate in the November 4 midterm elections. In The New Yorker, John Cassidy recently lamented:
Just in case you haven’t you haven’t had enough bad news, ...
No, One Program Did Not Reduce Colorado's Teen Pregnancy Rate by 40 Percent
This month, a study was released finding that a Colorado state-government program to provide free contraception of all kinds for low-income women had reduced teen pregnancies and abortions in the state by an incredible amount. The Washington Post reported that ...
Today's Policy Agenda: Regulation Explains a Lot of the Variation in Price of Housing
Obamacare’s growing costs to businesses is bad for some workers and consumers.
Rove and Co. has a report on the results of the 2014 Empire State Manufacturing Survey and the Business Leaders Survey, conducted by the Federal Reserve Bank of ...
Today's Policy Agenda: The VA Is Doing a Lot More Private Referrals
The budget deficit is 24 percent lower, for now.
In the Wall Street Journal, Eric Morath reports on theTreasury Department’s monthly statement, which said that the total deficit incurred from October to July is 24 percent less that it was 2013 levels. ...
Avik Roy, a senior fellow at the Manhattan Institute and a friend of National Review, released a health-care-reform plan today that complements a range of options offered by conservatives so far to replace Obamacare. But Avik’s plan, as he ...
A Ryan Poverty Plan Skeptic: W.'s Faith-Based Organization Chief
Representative Paul Ryan’s Opportunity Grant proposal, party of the sweeping new anti-poverty plan he announced a couple weeks ago, may be equal parts policy solution and policy problem. The “OG” is essentially a block grant that would allow states ...
Today's Policy Agenda: Some Floridians Are Going to See Huge Premium Increases
Some Floridians will see huge premium increases in 2015.
Kaiser’s Phil Galewitz reports that Florida Blue, the state’s largest heath insurer announced 17.6 percent average premium increase for exchange insurance plans:
Several factors related to the health law are driving ...
How Good Was the GDP Report?
The Bureau of Economic Analysis Wednesday released its first estimate of GDP growth in the second quarter this morning, and the headline number is great: They reported a whopping 4 percent increase in GDP, one broad indicator of the overall health ...
Here's What’s in Paul Ryan’s Anti-Poverty Plan
Representative Paul Ryan, chairman of the House Budget Committee, is releasing a major document this morning laying out a conservative approach to reforming federal anti-poverty programs (he’s speaking on it this morning at the American Enterprise Institute). Not all ...
If Halbig Stands, What Happens to Obamacare?
With the D.C. Circuit Court’s decision today that Obamacare, as written, doesn’t authorize the provision of subsidies on federal health-care exchanges — it just does so for those established by states — residents of 36 states may stop receiving insurance ...
Surprise: Insurers Save Money When They Pay Doctors Based on Quality
A couple years ago, Blue Cross Blue Shield insurance providers in dozens of states tried something innovative: Paying doctors more if they did a better job. Amazingly, it worked.
In 2013, $65 billion, about one dollar in five of the compensation BCBS ...
Today's Policy Update: Are Obamacare Enrollees Not Going to the Doctor?
High corporate tax rates are driving American health-care companies abroad, according to a report recently released by the Congressional Research Service (thanks to Jonathan Easley of Morning Consult for the pointer). Health-care mergers and acquisitions are rising globally, hitting an ...
Today's Policy Update: Obamacare 'Funding Cliffs' Loom for Some Programs
Contraceptives are not actually free for insurers.
Today at the New York Times’ Upshot, Austin Frakt looked into one element of the Burwell v Hobby Lobby opinion, the assertion that that covering contraception is cost-neutral for insurers:
Studies the departments ...
Today's Policy Agenda: California Thinks More Regulation Will Fix Rate Shock
Is it worth forgoing the logic of districts to stop gerrymandering?
In their new paper, Nicholas Stephanopoulos from the University of Chicago Law School and Eric McGhee from the Public Policy Institute of California suggest a new method for drawing ...
Does Not Expanding Medicaid Kill People? Probably Not
Earlier this week, I explored the question of the divergent outcomes between high-quality studies about Medicaid expansion in Oregon and private-insurance expansion in Massachusetts. The former didn’t appear to improve physical health, while the latter seemed to reduce mortality.
How Avikcare Would Fix Medicaid
Medicaid is a mess, and a very expensive one at that — the health-insurance program for low-income Americans is administered by states but has dozens of federal mandates and rules that drive up Medicaid costs. In response, the states cook up ...
Guide to the Senate Races, Georgia Edition: David Perdue (R) v. Michelle Nunn (D)
Though Georgia is considered a relatively solid Republican state in presidential elections, its changing demographic composition has made it an increasingly attractive target for Democrats.
The Republican candidate, David Perdue, has been working as a businessman for 40 years, including roles ...
Today's Policy Agenda: Should Tax Dollars Go to Training Doctors?
Should tax dollars go to training doctors?
At the Upshot, prominent health-care academic Uwe E. Reinhardt argues that, as an economic matter, new doctors shouldn’t be trained at the expense of taxpayers. The rational for publicly funded medical degrees ...
Guide to the Senate Races, Michigan Edition: Rep. Gary Peters (D) v. Terri Lynn Land (R)
Michigan is generally considered a Democratic-leaning state, and it hasn’t elected a Republican senator since the defeat of Spencer Abraham. This year, however, the seat is considered at least somewhat competitive. The Democratic candidate, Rep. Peters, worked as a ...
Today's Policy Agenda: Medicare Advantage May Be Worth It
Even a small percentage of kids not getting vaccinated could resurrect infectious diseases.
At FiveThirtyEight, Emily Oster shows why vaccination rates of 95 percent may not be enough to protect communities against some diseases. Oster reviewed National Immunization Survey results to ...
Today's Policy Agenda: Medicaid Is Expanding, Even in States That Didn't Expand Medicaid
Medicaid is expanding, even in states that didn’t expand Medicaid.
At the Upshot, Margot Sanger-Katz reports that nearly 1 million residents of states not expanding Medicaid under the ACA have signed up for Medicaid this year (versus the sign-up rates ...
Today's Policy Agenda: Consumers Choose Cheaper Health Care Providers if They See the Prices
Okay, so the Obama administration probably is going to do something about tax inversions.
Bloomberg’s Richard Rubin reports that the Treasury Department is considering taking a unilateral action to limit companies’ ability to use a tax-avoidance practice called inversion. ...
Today's Policy Update: Fewer Companies Are Starting, Brookings Thinks This Is a Big Problem
U.S. companies are getting older on average, a Brookings report finds, and they think it’s a problem.
In the Wall Street Journal, Asma Ghribi reports on a Brookings Institute report showing that the rate of new business growth ...
Today's Policy Agenda: Families Are Taking on Less Debt to Pay for College
Families are relying less on loans to pay for college.
In the Wall Street Journal, Karen Damato reports on a Sallie Mae study that found American families took out fewer loans to pay for college last year. In 2014, families took ...
Today's Policy Agenda: Hospitals Are Doing Pretty Nicely by Obamacare
Hospitals are seeing profits increase under Obamacare.
Some hospitals are making millions from new Obamacare patients. Christopher Weaver from the Wall Street Journal reports:
Universal Health Services Inc.’s revenue rose 10% for the second quarter compared with a year earlier. ...
Today's Policy Agenda: Whatever Happened to IPAB?
Americans are confused about the relationship between cost and quality in health care.
When the Associated Press-NORC Center for Public Affairs Research asked Americans about the relationship between the cost and quality of health care, it found that nearly half ...
It's Probably Not a Good Thing for Regulators to End Narrow-Network Plans
Plenty of Americans criticized the fact that health-insurance networks on Obamacare’s exchanges in 2014 were narrower than expected, but will they be happy if they’re regulated out of existence?
A few weeks ago, I wrote about how narrow-network plans ...
Today's Policy Agenda: Should We Replace the VA with a Medicare Advantage-like System?
The private market may be the best way to give veterans the care they deserve
Navigant Healthcare’s Casey Quinn and Paul Keckley lay out the arguments for a private alternative to the VA in Forbes. They imagine a new ...
Are Narrow Networks a Good Way to Control Out-of-Control Health Spending?
Chattanooga, Tenn., has higher than average rates of obesity, smoking, and hypertension, yet on the Obamacare exchanges, the county has surprisingly low insurance rates. Relatively low, at least: One resident explained to The Atlantic that he’s paying only $187 a ...
Today's Policy Agenda: Will Private Exchanges Be the Health Care of the Future?
Obamacare provides doctor visits, eventually.
You may have to wait longer to see a physician in 2014, according to a report by health-care consulting firm Merritt Hawkins. Since 2009, wait times to see a general practitioner increased in two-thirds of the cities ...
Is There a Compelling Public-Health Case for the HHS Mandate? Not Really
In this week’s Hobby Lobby decision, the Court decided that it didn’t need to question whether the HHS mandate serves a compelling government interest in order to rule against it. But if it had considered the question, it’...
Why Did Romneycare Save Lives? (If It Did)
Last week, Annals of Internal Medicine published the results of a groundbreaking study: When people get health insurance, they’re less likely to die. You’re probably wondering why it took a Harvard economist to figure that out, but the ...