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Gruber and Barro Are Wrong to Assume the Public is Stupid

A ton of virtual ink has been spilled over Obama Administration advisor Jonathan Gruber’s admission that he and others intentionally misportrayed the effects of the Affordable Care Act to facilitate its passage. Here I want to explain how Gruber’s characterizations of the “stupidity of the American voter,” as well as subsequent comments by Josh Barro, are incorrect on the substance.

A Supreme Court Case That Could Upend Obamacare

The Affordable Care Act's legal troubles are far from over. The Supreme Court's announcement that it will review King v. Burwell, the case challenging health insurance premium subsidies for those who buy their insurance on the 36 federal exchanges, increases the priority of reforming the most destructive aspects of the Act. Regardless of the decision, the new Congress should be prepared to act swiftly to improve the most destructive aspects of the Affordable Care Act.

Congress Can Fix the ACA With These 3 Principles

The Affordable Care Act presents the incoming Congress with substantive and political challenges. On the one hand its widely-acknowledged problems warrant repair, and the electorate has made its displeasure with it loud and clear. On the other hand, the whole ACA will not be repealed while there is power-sharing between a Republican Congress and a Democratic administration. Consequently this Congress will need to be very clear-sighted about what it can fix and what it cannot. 

An Emerging Consensus: Medicare Advantage Is Working And Can Deliver Meaningful

Since enactment of the Affordable Care Act (ACA) in 2010, much of the attention in the policy community has been on modernizing Medicare’s traditional fee-for-service (FFS) program.  Through Accountable Care Organizations (ACOs), larger “bundles” of payments to fee-for-service providers for episodes of care, and tests of pay-for-performance models, the hope is that the traditional Medicare model can be remade through sheer force of bureaucratic will.

A Non-Partisan Case For Obamacare Reform

Congressional Republicans and Democrats, as well as President Obama, have an interest in terminating the disincentive effects on employment of the Affordable Care Act. By ending the employer mandate to provide health insurance, employers would be free to hire more full-time employees.

Budget Committee Report Confirms the ACA Worsens the Deficit

A recent Senate Budget Committee (SBC) Republican report about the fiscal effects of the Affordable Care Act (ACA, or so-called “Obamacare”) has stimulated public and press interest. The report concluded that whereas earlier analyses appeared to find the ACA would reduce deficits, updated analysis employing Congressional Budget Office (CBO) methodology finds it is worsening deficits.

CDC Ebola Hospital Ward

Federal agencies clamoring for more funding to fight the Ebola outbreak are taking a page from Chicago Mayor Rahm Emmanuel’s playbook: they are not letting a serious crisis go to waste. 


Though the Affordable Care Act is projected by CBO to cost nearly $1.5 trillion over the coming decade, it is important to keep in mind that the Act’s most serious costs might be found not in its price-tag, but in its labor market effects. 

Omer Wizir/CC

I woke up this morning expecting to find the White House website celebrating’s first birthday. When I saw no mention, I checked Rep Nancy Pelosi’s website and Senate Majority Leader Harry Reid’s—again, no mentions. Where is the fanfare? Where are the photo ops?


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