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Healthcare

America’s Recent Healthcare Slowdown: The Credit Goes to President Bush

George W. Bush deserves more credit for the recent slowdown in U.S. health care spending than President Obama, who is much more eager to attribute the slowdown to his landmark 2010 domestic policy achievement, the Affordable Care Act. The ACA’s record on cost controls is mixed, at best, and there are much better explanations available for why health care spending has slowed—and is likely to grow faster in future years.

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To Make Social Security Disability Insurance Fairer and Sustainable, Eliminate t

Factoring societal and technological advances into the disability determinations process will end Disability Insurance’s unsustainable expansion and restore fairness to our nation’s critical moral endeavor.

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Costs of Merging Social Security Retirement and Disability Funds

Merging the OASI and DI trust funds would be a significant departure from lawmakers’ previous promises that the establishment of disability benefits within Social Security would not reduce the funds available for paying retirement benefits. It could also have the adverse effects of further delaying necessary financial repairs, worsening operational opacity and weakening commitment to the self-financing principle. 

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Gaming the Scenarios in King v. Burwell

Earlier this year the U.S. Supreme Court heard arguments in King v. Burwell, a case critical to the future of the Affordable Care Act (ACA, or so-called Obamacare).  

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Rubio’s Health Plan Is a Fresh Breeze

As the starting gate loads for the large field of 2016 presidential candidates in the Republican party, there has not been much differentiation thus far in what the leading contenders have said about health policy.

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CBO Says ACA Will Insure Fewer People Than Predicted

The Congressional Budget Office’s new report shows updated cost projections for the insurance coverage expansion in the Affordable Care Act. With the debate over the ACA remaining so intensely polarized, advocates moved aggressively to spin this routine update as reflecting favorably on the law.

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How to Handle Victory in King v. Burwell

A Supreme Court ruling on King v. Burwell in favor of the plaintiffs would force Congress and President Obama to the negotiating table. Besides passing legislation that allows already-promised subsides to remain, this could be used as an opportunity to return flexibility and state control to health insurance markets.

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A Post-King Bridge to Somewhere Better

As we approach oral argument this week at the Supreme Court in the King v. Burwell case, a series of policy reversals is presumed to immediately produce a devastating cascade of premium spikes, policy cancellations, insurer exits, unpaid hospital bills, and millions of newly uninsured Americans. However, the formulaic, knee-jerk forecast of a death spiral throughout the individual and small-group insurance markets is exaggerated for political effect and built on linear projections of static and unrealistic assumptions. 

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Millions of Americans in Danger of Losing Key Obamacare Tax Subsidy

On March 4 the U.S. Supreme Court will hear King v. Burwell, the case challenging health insurance-premium subsidies for those who buy their insurance on the 37 federal exchanges.

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Mindless Yes, Austerity No: The Real Budget Problem

As long as spending growth in Social Security, Medicare, Medicaid and the ACA continues unabated, we can expect the share of national resources devoted to other federal government priorities to continue to decline. As former President Clinton might say, “it’s arithmetic.”

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