Opportunities for State Medicaid Reform

Medicaid, the joint federal-state health care program for the poor and near poor, is the largest single expenditure by state governments today. At the rate the program is growing, it is on a course to consume the entire budgets of state governments in just a few decades.

Statement on HSAs – Goodman's Testimony before the Senate Finance Committee

Government at all levels in the United States currently spends about 7.2 percent of gross domestic product (GDP) on health care, mainly on Medicare and Medicaid.  Yet Christian Hagist and Laurence J. Kotlikoff have shown that if benefits expand at the rate of the past 30 years and if the population ages the way demographers predict, government health care spending will equal one-third of national income by mid-century, when today's college students reach the retirement age.

Statement on Health Savings Accounts

Government at all levels in the United States currently spends about 7.2 percent of gross domestic product (GDP) on health care, mainly on Medicare and Medicaid.  Yet Christian Hagist and Laurence J. Kotlikoff have shown that if benefits expand at the rate of the past 30 years and if the population ages the way demographers predict, government health care spending will equal one-third of national income by mid-century, when today's college students reach the retirement age.

New Study Undermines Case For Death Tax

As Congress continues debate over reduction and possible elimination of the estate tax, a new study from the National Center for Policy Analysis (NCPA) undermines the chief argument made by proponents of the tax – that estate taxation prevents the concentration of wealth in the hands of financial dynasties.

Wealth, Inheritance and the Estate Tax

It is commonly assumed that inheritances are a major source of wealth inequality and that the offspring of wealthy families tend to be as rich as their parents due to bequests.  This perception is one reason why many people support taxing estates at death.  But an individual's skills and personal choices are far more important in determining household wealth than inheritances.  In fact, the contribution of inheritance is surprisingly small.

Workers' Compensation: Rx for Policy Reform

Workers' compensation is the oldest government-mandated employee benefit program in the United States.  Costs are increasing because state systems provide incentives for employers, employees and others to behave in ways that cause costs to be higher and workplaces to be less safe than they otherwise could be. 

Constructive Thinking about Climate Change, Part II

Over the next 50 years the world's developing nations will seek to emulate the West's material success. Access to cheap and dependable energy is critical to their continued progress from poverty. Electrical energy is especially important – it powers schools, hospitals and water treatment plants.

Uninsured? So What?

Virtually everyone in the "deploring" business points out that most of the uninsured have low incomes, hoping to invoke our sympathy. But this fact is misleading.

Crisis of the Uninsured: 2006 Update

Despite claims that there is a health insurance crisis in the United States, the proportion of Americans without health coverage has changed little in the past decade. The increase in the number of uninsured is largely due to immigration and population growth.

Will Mandatory Health Insurance Work?

The latest fad among Republicans is enforcing "personal responsibility" by requiring individuals to buy health insurance. It was enshrined in the recent Massachusetts health reform law, proudly signed by Gov. Mitt Romney and endorsed by a number of conservative, and even libertarian, organizations.