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John Goodman

Our Tattered Health Care Safety Net

Our Tattered Health Care Safety Net

We are probably as close to universal health insurance as we are ever likely to be. Yet we are doing a poor job of delivering care to families at the bottom of the income ladder. These families find that as their income goes up and down and as their job opportunities ebb and flow, they bounce back and forth among eligibility for Medicaid, eligibility for subsidized insurance in the Obamacare exchanges, eligibility for employer-provided coverage and sometimes eligible for none of the above.  More.

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Can the Left and Right Agree on Health Reform?

Can the Left and Right Agree on Health Reform?

A new book calls for universal health insurance coverage, but with no increase in government spending. It’s getting a lot of attention in progressive circles. Yet a bill that would go a long way toward implementing Finkelstein’s proposal has been introduced in Congress by a conservative Republican. More

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Who Are the Real Authoritarians?

Who Are the Real Authoritarians?

If the Trump presidency meant anything, it meant less government. Specifically, lower taxes, less regulation, and fewer (potentially war-causing) foreign entanglements. Typical Trump supporters are also anti-government – even more than Trump is.  More

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A Republican Alternative to Medicare for All

A Republican Alternative to Medicare for All

It’s been 15 years since John McCain ran for president with a plan to completely revamp our healthcare system. In the interim, Republicans have attempted a nip here or a tuck there, but nothing really big. Fortunately, Rep. Pete Sessions (R-TX) and his colleagues have come to the rescue with a reform plan that is a pro-patient, pro-family, pro-free enterprise alternative. It is based on three fundamental values. More

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Against Medicaid Expansion

Against Medicaid Expansion

Expanding Medicaid to the relatively healthy might make sense if it improved general health. But there is little evidence it does. In Oregon, for example, a first-of-its-kind controlled trial tracked individuals who applied for Medicaid through a lottery. After two years, there was no discernible difference in the physical health of the winners and losers. More

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Liberating the Doctors

Liberating the Doctors

For the past half century, virtually every major attempt to reform the health care system has involved people who don’t practice medicine telling the doctors who do practice medicine how to manage their affairs. Yet none of these solutions appears to work. Costs keep rising. Quality of care is not measurably improving. And, access to care (as measured, say, by per-capita doctor visits or the length of time needed to see a doctor) seems to be getting worse. So why not try something different? Why not allow the folks who practice medicine and who are in the best position to eliminate waste, improve quality and expand access to care to solve the very problems no one else seems able to solve? More

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It’s Time to Retire the Labor Law

It’s Time to Retire the Labor Law

The emergence of Uber and similar ride services and the pandemic-induced phenomenon of working from home are radically changing the nature of work. The idea of “an hour of work” for a single employer is increasingly a meaningless concept. But without that metric, you can’t make sense of “minimum hourly pay” or “overtime” and other features of 85-year-old labor law. Moreover, millions of people no longer want to be traditional “employees.” To facilitate that desire, we need to let independent contractors have all the tax advantages employees have with respect to health insurance, retirement pensions and other benefits. More.

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Medicare’s Future

Medicare’s Future

In just eight years, nearly 78 million Medicare beneficiaries will face an automatic 11 percent payment cut in their hospital insurance benefits, and these cuts could come even sooner and strike even deeper if America is hit by a recession. More

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