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The Bipartisan ‘Single Payer’ Solution: Medicare Advantage Premium Support For All
In my last Health Affairs Blog post, I outlined a potentially bipartisan four-step plan to move past the American Health Care Act’s (AHCA’s) disastrous framework toward a more stable, less expensive health care system. For those seeking incremental, near-term solutions, I hope those recommendations provide helpful guidance.
But the AHCA’s reckless drive through the US House of Representatives has taught us something about the current status of health care politics and may have opened the window to more significant, ultimately more successful, reforms. To put it mildly, the public is essentially fed up with debating h...
Source: Health Affairs Blog - May 11, 2017 Category: Health Management Authors: Billy Wynne Tags: Costs and Spending Following the ACA Insurance and Coverage Medicare Payment Policy ACA repeal and replace American Health Care Act premium support single payer Source Type: blogs
The Jobs Conundrum
At next week ’s FOMC meeting, the state of the labor market will play a key role in policy deliberations. But there’s a lot more going on underneath top line unemployment numbers that make them a bad tool for monetary policy decision-making.The May employment reportis a conundrum. Employment growth and the unemployment rate sent opposing signals about labor market conditions — much like they have been doing throughout the recovery. The economy added138,000 jobs last month, with the three-month average only at 121,000 jobs, suggesting labor market weakness.By contrast, the unemployment rate fell to 4.3 percent — the...
Source: Cato-at-liberty - June 8, 2017 Category: American Health Authors: Gerald P. O ' Driscoll Jr. Source Type: blogs
Psychedelic Medicine – New Frontiers in Palliative Care
Exciting new research is revealing that psychedelic drugs, such as psilocybin and MDMA, may offer significant benefit for patients struggling at the end of life and those beset by major depressions and treatment-resistant post-traumatic stress.
A conference at the University of Washington School of Law, on October 27, 2017, brings together doctors, scientific researchers, attorneys and ethicists to consider the medical, legal and ethical implications of this evolving research.
Confirmed speakers include:Dan Abrahamson, Senior Legal Advisor, Drug Policy Alliance's Office of Legal Affairs, Oakland, CA
Ira Byock, M.D., ...
Source: blog.bioethics.net - June 21, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
The Economics of Amtrak
Amtrak ’s co-CEO Wick Moorman hasannounced that the passenger railroad is thinking of offering a new service to compete with the airlines: economy seating that is crammed together as tightly as airline seats. This was immediatelyblasted by Senator Charles Schumer (D-NY), saying, “Amtrak should not throw out one of the best things about Amtrak and train travel — that is, you at least get a seat you can sit in and be comfortable.”In fact, this idea makes no sense not because heavily subsidized train travelers somehow deserve more comfortable seats but because it would cost Amtrak more in lost revenues than it will sa...
Source: Cato-at-liberty - July 18, 2017 Category: American Health Authors: Randal O ' Toole Source Type: blogs
We have an ingrained anti-profit bias that blinds us to the social benefits of free markets
By Christian Jarrett
“Harnessing the ‘base’ motive of material self-interest to promote the common good is perhaps the most important social invention mankind has yet achieved,” said the American economist Charles Schultz. And you can see why. While acknowledging its problems, many credit free market capitalism for the dramatic reduction over recent decades in the proportion of people in the world living in extreme poverty, not to mention rising health standards and technological advances. Conversely, according to some commentators, one only has to look to modern-day Venezuela to see the dangers of ...
Source: BPS RESEARCH DIGEST - August 4, 2017 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Cognition Decision making Money Political Source Type: blogs
A Monetary Policy Primer, Part 11: Last-Resort Lending
So far, throughout this primer, I ’ve claimed that central banks have one overarching task to perform: their job, I said, is to “regulate the overall availability of liquid assets, and through it the general course of spending, prices, and employment, in the economies they oversee.” I’ve also shown how, prior to the recent crisis, the Fed pursued this task, sometimes competently, and sometimes ineptly, by means of “open-market operations,” meaning routine purchases (and occasional sales) of short-term Treasury securities.But this picture isn ’t complete, because it says nothing about central banks’ role a...
Source: Cato-at-liberty - August 8, 2017 Category: American Health Authors: George Selgin Source Type: blogs
The 2017 Stress Tests: Are US Banks Really in Good Shape?
“… equally efficacious, and equally a hoax.” – Benjamin Disraeli, 1848[1] One of the highlights of the U.S. summer for Fed watchers is the annual ritual in which the Fed ’s economic soothsayers peer into their crystal balls, a.k.a. their stress tests, to reassure us that the U.S. banking system is robust and getting stronger all the time.You see, while the future is uncertain, the results of the stress tests are not. Praise be that the news is always good and getting better.This year, the news is particularly good. As usual, the key capital metrics across the system are better than ever. And whereas in previou...
Source: Cato-at-liberty - August 17, 2017 Category: American Health Authors: Kevin Dowd Source Type: blogs
The Current Budget Crisis Illustrates James Buchanan ' s Concerns About Politics
Nobel laureate James Buchanan has been in the news lately, especially because of a book that seeks to link his 7000 pages of economic writing to both Dixiecrat segregationists and Charles Koch ’s secret plan “to radically alter our government in ways that will be devastating to millions of people. ” The thesis ofDemocracy in Chains by Nancy MacLean is that public choice economics is a radical plan to “shackle the people’s power,” “to put democracy in chains.” Oddly, she claims (without evidence), he set out on this project because he resented the Supreme Court ’s decision in Brown v. Board of Education ...
Source: Cato-at-liberty - August 31, 2017 Category: American Health Authors: David Boaz Source Type: blogs
Single Payer Is Not The Solution To The Problem Of Uninsured Americans
For years, some Democrats have proposed a “single payer” or “Medicare for all” health system as the solution to the problem of millions of Americans going without health insurance coverage. Lack of coverage is a serious problem that must be corrected by government action, but “political control” single payer (as opposed to market control) is not the answer. If single payer means that all health care providers should be paid by the same government entity, this would probably mean a continuation of the current and all-too-pervasive open-ended uncoordinated fee-for-service system, with resource allocation and pric...
Source: Health Affairs Blog - October 20, 2017 Category: Health Management Authors: Alain Enthoven Tags: Insurance and Coverage Affordable Care Act Medicare repeal and replace single-payer health system Source Type: blogs
Bill Niskanen: Monetary Policy Radical
Several days ago a colleague of mine, having been sent a copy ofthe Niskanen Center ’s recent conspectus, wondered whetherBill Niskanen, the former Chairman of the Cato Institute after whom the Niskanen Center is named, would have agreed with a claim it made. The claim was that promoting sound monetary policy was basically a matter of encouraging “policymakers to support the Federal Reserve’s dual-mandate” and of getting “pro-growth” candidates appointed to the Board of Governors.My short answer to the question was, “No.” But it occurs to me that that answer is worth fleshing-out here, because many people m...
Source: Cato-at-liberty - December 21, 2017 Category: American Health Authors: George Selgin Source Type: blogs
2018: A Year Beginning with Turnover Questions at the FOMC
This year ’s Federal Open Market Committee (FOMC), which meets for the first time this week, faces many unknowns, including new faces at the Fed. In fact, by year’s end, the Fed’s rate-setting body will have, at most, only two continuity voters — that is, members who voted during all of 2017and will vote throughout 2018.Only twice before in its history has the FOMC had so few continuity voters across two consecutive years: in 1987 and in 2007. On the first occasion, the Fed had to deal with a major stock market crash, while on the second it was confronted by the decline in the subprime market that heralded the 200...
Source: Cato-at-liberty - January 30, 2018 Category: American Health Authors: Tate Lacey Source Type: blogs
For Lower Gas Prices, Scrap the Jones Act
Drawing attention to rising gas prices this week, Senate Minority Leader Charles Schumer (D-New York)called for President Trump to ease pain at the pump by leveraging his relationships with key OPEC leaders as well as the presidential bully pulpit to exert pressure on oil companies. “These higher oil prices are translating directly to soaring gas prices, something we know disproportionately hurts middle- and lower-income people,” the senator added.While his apparent belief that gas prices are determined more by the whims of corporate leaders than market forces is severely misguided, Sen. Schumer ’s stated concern f...
Source: Cato-at-liberty - May 24, 2018 Category: American Health Authors: Colin Grabow Source Type: blogs
Some " Serious " Theoretical Writings That Favor NGDP Targeting
On Twitter last week Stephen Williamson wrote that he was “puzzled by the infatuation with NGDP targeting. We have good reasons to care about the path for the price level and the path for real GDP. Idea seems to be that if you smooth Py that you get optimal paths for P and y. That’s hardly obvious, and doesn’t fall out of any serious theory I’m awa re of.”I ’m not exactly sure what Stephen means by a “serious theory.” But if he means coherent and thoughtful theoretical arguments by well-respected (and presumably “serious”) economists, then there are all sorts of “serious theories” out there to which...
Source: Cato-at-liberty - June 19, 2018 Category: American Health Authors: George Selgin Source Type: blogs
Clashing Generations
I ’ve written before about the worrisome gap between the American people and foreign policy elites (see e.g.here andhere). Whereas most Americans believe that the U.S. military exists chiefly to defend the United States andits economic and security interests, the intelligentsia is committed to a broader set of objectives, including defending the security of others, shaping the international system, and advancing the cause of democracy and human rights. These slightly differing impulses often worked hand in hand. A large and active U.S. military that was focused mostly on U.S. security and prosperity typically helped othe...
Source: Cato-at-liberty - June 28, 2018 Category: American Health Authors: Christopher A. Preble Source Type: blogs
Thank Goodness for Thomas Jefferson and 1800
Not long after the limited-government U.S. Constitution was ratified and the new government resumed operation, numerous political leaders began pushing to expand federal power. Leading politicians of the 1790s did not agree with each other about the proper scope of federal authority, either legally or practically.Treasury Secretary Alexander Hamiltonproposed ideas for top-down manipulation of the economy. And fellow Federalist President John Adams signed into law the infamous Alien and Sedition Acts in 1798, which among other thingsoutlawed any “false, scandalous and malicious writing” against the government, the Congr...
Source: Cato-at-liberty - September 13, 2018 Category: American Health Authors: Chris Edwards Source Type: blogs
