- John Goodman
- Larry Kotlikoff
- Jane Shaw Stroup
- Thomas Saving
- Devon Herrick
- Linda Gorman
- Pete Du Pont
- All Posts
Why Social Security Needs DOGE
If the Department of Government Efficiency (DOGE) can stop our Social Security system from sending checks to dead people, that would be a plus. Yet a far more important task is to stop the system from overpaying people who are very much alive. Last year the Social Security Administration admitted it had identified 2 million beneficiaries who have been overpaid and sent them “clawback” letters, demanding the government’s money back. Some of these claims go back several decades, and they can amount to hundreds of thousands of dollars. More
House Republicans Love HSAs
Industry experts believe that the House reconciliation bill would result in 20 million more Americans having a Health Savings Account. Among the changes, Bronze and catastrophic plans sold in the (Obamacare) exchanges would automatically qualify for HSAs. And people could use their HSA to pay the monthly premium of a direct primary care doctor of their choosing – providing 24/7 primary care.
However, John Goodman says that for the same CBO score, the Senate could make the bill much better. More.
What the GOP Should Be Doing About Medicaid
In his latest commentary at Forbes, John Goodman explains a huge, missed opportunity by House Republicans.
They should have focused on why Medicaid does such a poor job of meeting the needs of the enrollees. Then, they should have explored ways of making Medicaid better and reducing spending at the same time. This would have been a very positive message to voters.
Let’s hope this turns around in the Senate. More.
What Price for Drugs?
When was the last time you saw a news headline announcing that a cancer patient died because she couldn’t afford a drug that could have saved her life? I bet you haven’t. Why? Because it doesn’t happen. At least not in this country. President Trump doesn’t understand the market for drugs. He is not alone. Most people don’t understand it. Here is John Goodman’s contribution to clear thinking:
- In Part I, he asks readers to imagine a free market for drugs, in which drug manufacturers are given a patent for a certain length of time. The patent allows drug companies to charge a monopoly price. But by price discriminating, they insure that almost no one goes without a lifesaving drug.
- In Part II, he asks how free market health insurance would cover expensive drugs. People who are more risk averse would purchase “top up” plans to pay for drugs conventional insurance finds not cost effective.
- In Part III, he shows that both public insurance and unwisely-regulated private health insurance face perverse incentives to favor the healthy over the sick. Reforms are suggested.
$1T in Medicaid Cuts That Leave Beneficiaries Better Off
John Goodman identifies 12 reforms to Medicaid that will Allow Republicans to reach their budget goals without reducing any real benefit for enrollees. Among the ideas: let enrollees buy medical care the way they buy food with food stamps, have a heath savings account and have access to 24/7 direct primary care. More
Inside the Liberal Mind: The Tensions of Modern Political Thought
The liberal penchant for big projects is undermined by their love of regulations, something more people are noticing. More
Why Can’t Every School be a Magnet School?
For many years, magnet schools were the only public schools that competed for students. And the experience as been very positive. So why can’t every school do that? John Goodman argues that every public school should be able to specialize in what it does best and compete for students. More
What Should Republicans Do About Medicaid?
There is tremendous waste in the program. That means that Congress can make the program work better for beneficiaries and at the same time free up trillions of dollars to help fund the tax bill. The reforms include Roth Health Savings Accounts, 24/7 direct primary care, and access to a competitive medical marketplace. More
Why Social Security Needs DOGE
If the Department of Government Efficiency (DOGE) can stop our Social Security system from sending checks to dead people, that would be a plus. Yet a far more important task is to stop the system from overpaying people who are very much alive. Last year the Social Security Administration admitted it had identified 2 million beneficiaries who have been overpaid and sent them “clawback” letters, demanding the government’s money back. Some of these claims go back several decades, and they can amount to hundreds of thousands of dollars. More
House Republicans Love HSAs
Industry experts believe that the House reconciliation bill would result in 20 million more Americans having a Health Savings Account. Among the changes, Bronze and catastrophic plans sold in the (Obamacare) exchanges would automatically qualify for HSAs. And people could use their HSA to pay the monthly premium of a direct primary care doctor of their choosing – providing 24/7 primary care.
However, John Goodman says that for the same CBO score, the Senate could make the bill much better. More.
Why Social Security Needs DOGE
If the Department of Government Efficiency (DOGE) can stop our Social Security system from sending checks to dead people, that would be a plus. Yet a far more important task is to stop the system from overpaying people who are very much alive. Last year the Social Security Administration admitted it had identified 2 million beneficiaries who have been overpaid and sent them “clawback” letters, demanding the government’s money back. Some of these claims go back several decades, and they can amount to hundreds of thousands of dollars. More
Inflation is a Hidden Tax
A new study lays out the toll of lifelong high inflation on consumers. It estimates that permanent 5% inflation would lower household lifetime spending by 3.62%. Permanent 10% inflation would lower lifetime household spending by 6.82%. Even if inflation ran permanently at the Fed’s 2% target, consumers would still feel a pinch, with a 1.5% reduction in lifetime household spending. More.
Letter to the Commissioner
Congratulations on limiting the amount by which a beneficiaries benefits may be clawed back because of Social Security ‘s own mistakes. More needs to be done however. More.
Social Security Claws Backs $34K from a Disabled Blind Worker for “Overpayments” Going Back 23 Years!
Social Security sends out more than 2 million clawback letters every year. Why so many clawbacks? Simple. Social Security doesn’t have the data it needs to correctly calculate benefits for tens of millions of us. Or it has the information on day 1, but doesn’t process it. Or it inputs the wrong information. Or it mixes up your earnings record with someone else’s. Or it makes the wrong benefit calculations. I’ve seen all of this and more. More
ObamaCare still desperately needs fixing
The American Rescue Plan injects new life into ObamaCare with more generous subsidies, expanded eligibility and premium limits that make insurance more affordable. Unfortunately, the stimulus proposal just passed by Congress does nothing to correct the most serious...
The Government’s New Tax Break for Retirees is Less Than Meets the Eye
QLACs — Qualified Longevity Annuity Contracts promise to be “A Retirement Tax Break That Ends the Fear of Outliving Your 401(k).” But while buying a QLAC lowers the person’s exposure to one major risk (living too long), it raises exposure to another risk: inflation. More
What the Debt Deal Ignored
A month ago, Social Security’s Trustees published their annual report. Table VIF1, buried deep in the Appendix, where no one looks, is the statement that Social Security’s unfunded liability is $66 trillion. This measure of Social Security’s red ink is not just gargantuan on its own. It’s $13 trillion larger than it was just three years ago. More
Social Security Sues invalid for Money He Received 21 Years Ago, At Age 11
Roy Farmer of Grand Rapids Michigan has Cerebral Palsy. He’s 32. In 2019, out of the blue, he received a claw back letter from Social Security demanding he repay $4,902 that his (now deceased) mother received back when he was 11. Roy has spent over three years appealing this judgement. He’s been denied twice. More from Kotlikoff Forbes editorial.
Our Fiscal System Needs Reform
Over half of working-age Americans face lifetime marginal tax rates (including direct taxes and loss of entitlement benefits) above 43 percent. One in ten in the bottom fifth face tax rates above 70 percent, effectively locking them into poverty. For some would-be-workers, the tax rates exceed 100 percent.
Extremely high LMTRs reflect the complete loss of family benefits, in the current and future years, from programs such as Medicaid – which ends benefits abruptly if one’s income or assets exceed specific thresholds by even one dollar. More.
Inflation is a Hidden Tax
A new study lays out the toll of lifelong high inflation on consumers. It estimates that permanent 5% inflation would lower household lifetime spending by 3.62%. Permanent 10% inflation would lower lifetime household spending by 6.82%. Even if inflation ran permanently at the Fed’s 2% target, consumers would still feel a pinch, with a 1.5% reduction in lifetime household spending. More.
Letter to the Commissioner
Congratulations on limiting the amount by which a beneficiaries benefits may be clawed back because of Social Security ‘s own mistakes. More needs to be done however. More.
Inflation is a Hidden Tax
A new study lays out the toll of lifelong high inflation on consumers. It estimates that permanent 5% inflation would lower household lifetime spending by 3.62%. Permanent 10% inflation would lower lifetime household spending by 6.82%. Even if inflation ran permanently at the Fed’s 2% target, consumers would still feel a pinch, with a 1.5% reduction in lifetime household spending. More.
Let’s Not Blame Jane Jacobs
My late husband and I had a running debate over which force mattered the most: downtown landowners who wanted to keep up rents (Rick’s view) or urban planners (my view). Rick, the economist, may well have been right—especially about the devastation of Boston that goes back to the 1950s—but planners are at fault, too. That’s the subject of this post.
How the Barbarians Won
Have you ever thought about the difference between the biblical Jesus who said that the meek will inherit the earth and the Christ in whose name the Crusaders warred against Muslims and Jews?
These examples are, of course, at the extremes of Christianity—Jesus’ love of the least-favored people versus triumphant soldiers who went to war with the cross on their flags. But the image of Christians conducting wars and inflicting pain still jars us, and it is impossible for Christians to approve of those who took over Jerusalem in 1099 and massacred Muslims and Jews in the process.
How did this transformation take place?
China’s Decades-Long Tragedy
We are witnessing one of the greatest ironies of modern history: the population policy of the Chinese government. The state’s coercive one-child policy—complete with forced birth control, sterilizations, late (even caesarean) abortions, and likely infanticide—began...
Stubborn History: The Reading Wars
For nearly 200 years there has been a controversy in the United States over how to teach reading.
Before Heretics Were Persecuted
The first 300 years of Christianity were troubled times. As Christians, inspired by their new faith, created churches all over the Roman Empire, they were persecuted and often cruelly executed because they refused to make sacrifices to the Roman gods. The persecutions were not continuous, and some Roman governors made a point of tolerating Christians, but the threat was always there.
One threat they did not face, however, was persecution by other Christians. Christianity was such a fledgling religion that it had no clear hierarchy or even ruling group immediately after the Apostles died. It had no orthodoxy and no political power in those early years.
That would change.
Battles or Logistics? How Wars are Won
“Infantry wins battles; logistics wins wars.” This statement is attributed to World War I commanding general John J. Pershing (although I have yet to find the source). Military logistics means getting soldiers and equipment in place for battle or replacing causalities and destroyed equipment.
Who ‘Saved’ Our Forests?
Postcard above shows Biltmore Estate in 1915. From the Karl Larson Photograph Collection (PhC.205), courtesy of the State Archives of NC. It makes a good story. In the late 1800s demand for wood was insatiable—for houses, for ships, for fuel, for railroad ties....
They Shouldn’t Have Created Charitable Foundations
You’ve probably heard that Henry Ford II resigned from the board of the Ford Foundation because it had veered far away from its donor’s intent. In his 1976 resignation letter, Ford (grandson of Ford Sr.) wrote: “In effect, the foundation is a creature of capitalism—a...
Let’s Not Blame Jane Jacobs
My late husband and I had a running debate over which force mattered the most: downtown landowners who wanted to keep up rents (Rick’s view) or urban planners (my view). Rick, the economist, may well have been right—especially about the devastation of Boston that goes back to the 1950s—but planners are at fault, too. That’s the subject of this post.
How the Barbarians Won
Have you ever thought about the difference between the biblical Jesus who said that the meek will inherit the earth and the Christ in whose name the Crusaders warred against Muslims and Jews?
These examples are, of course, at the extremes of Christianity—Jesus’ love of the least-favored people versus triumphant soldiers who went to war with the cross on their flags. But the image of Christians conducting wars and inflicting pain still jars us, and it is impossible for Christians to approve of those who took over Jerusalem in 1099 and massacred Muslims and Jews in the process.
How did this transformation take place?
Let’s Not Blame Jane Jacobs
My late husband and I had a running debate over which force mattered the most: downtown landowners who wanted to keep up rents (Rick’s view) or urban planners (my view). Rick, the economist, may well have been right—especially about the devastation of Boston that goes back to the 1950s—but planners are at fault, too. That’s the subject of this post.
Savings and Gramm: How the Fed is Slowing Monetary Growth
The Federal Reserve is buying Treasury bills and mortgage-backed securities at a rate of $120 billion a month. This is apparently being done to support large borrowing by the federal government. At the same time, the Fed has pulled almost a trillion dollars of liquidity out of the financial system by “reverse-repo borrowing.” This has reduced bank reserves and private sector lending. Not surprisingly, the growth of the M2 money stock fell from around 25% in 2020 to around 10% on an annualized basis in the first six months of 2021.
Gramm and Saving in the WSJ: The Fed has lost its ability to control interest rates
Writing in the Wall Street Journal, former Sen. Phil Gramm and Goodman institute Senior Fellow Thomas Saving write “Never in the Fed’s 105-year history has it had less control over market interest rates than it has today…. To expect the Fed to hold interest rates above or below the market rate under these circumstances is not only naive but dangerous.”
Tom Saving has a new book
Tom Saving has a new book called A Century of Federal Reserve Monetary Policy: Issues and Implications for the Future.
Saving and Gramm in the Wall Street Journal: The Fed’s Obama-Era Hangover
The Federal Reserve System is paying banks not to lend money under an Obama era policy.
Goodman and Saving: Budget Deal’s Trillion Dollar Surprise
The most significant federal entitlement reform in our lifetime was a little noticed provision that Democrats included in the Affordable Care Act. The provision was a cap on Medicare spending, similar to the cap Republicans proposed for Medicaid last summer.
Saving on CNBC: FED is holding 20% of federal debt
The Federal Reserve System is holding 20% of the federal government’s publicly held debt. It also is holding a lot of bank reserves. For every dollar of required reserves, banks have deposited $12 at the FED.
Gramm and Saving in the Wall Street Journal: Fed Task is Precarious
The Fed balance sheet contains 20% of all publicly held federal debt and 34% of the value of all outstanding government-guaranteed mortgage-backed securities. As the economy returns to normal growth, getting rid of those assets risks runaway inflation or a crippled recovery or both.
Saving: Are Republicans Too Stingy with Medicaid?
Before the Senate voted on a “skinny” alternative to Obamacare, it was considering the House version of repeal and replace – called the Better Care Reconciliation Act (BCRA).
Savings and Gramm: How the Fed is Slowing Monetary Growth
The Federal Reserve is buying Treasury bills and mortgage-backed securities at a rate of $120 billion a month. This is apparently being done to support large borrowing by the federal government. At the same time, the Fed has pulled almost a trillion dollars of liquidity out of the financial system by “reverse-repo borrowing.” This has reduced bank reserves and private sector lending. Not surprisingly, the growth of the M2 money stock fell from around 25% in 2020 to around 10% on an annualized basis in the first six months of 2021.
Gramm and Saving in the WSJ: The Fed has lost its ability to control interest rates
Writing in the Wall Street Journal, former Sen. Phil Gramm and Goodman institute Senior Fellow Thomas Saving write “Never in the Fed’s 105-year history has it had less control over market interest rates than it has today…. To expect the Fed to hold interest rates above or below the market rate under these circumstances is not only naive but dangerous.”
Savings and Gramm: How the Fed is Slowing Monetary Growth
The Federal Reserve is buying Treasury bills and mortgage-backed securities at a rate of $120 billion a month. This is apparently being done to support large borrowing by the federal government. At the same time, the Fed has pulled almost a trillion dollars of liquidity out of the financial system by “reverse-repo borrowing.” This has reduced bank reserves and private sector lending. Not surprisingly, the growth of the M2 money stock fell from around 25% in 2020 to around 10% on an annualized basis in the first six months of 2021.
The Perils of Trying to Become a Doctor
This week the National Resident Matching Program (Match) will inform between 45,000 to 50,000 medical graduates whether they have a career in medicine or should try for Plan B. Some of those who failed to match (about 20 percent) will spend the rest of their lives trying to pay down $300,000 in medical school debt without an income capable of servicing that debt.
How a Questionable Drug Turned into a Goldmine at Taxpayers’ Expense
On June 7th the U.S. Food and Drug Administration approved a new drug to treat early-stage Alzheimer’s disease. Is this good news for patients suffering with Alzheimer’s disease? Probably not and certainly not for taxpayers. The clinical trial data found little evidence the drug works. One Phase 3 clinical trial showed a slight slowing in cognitive decline, while the second clinical trial failed to show any improvement.
What’s Behind the Vaccine Slowdown?
What’s behind the slowdown in vaccinations? The consensus among experts is those not yet vaccinated either 1) don’t want the vaccine 2) harbor some doubts about vaccine safety or efficacy, or 3) simply lack the motivation to find vaccine providers and make an appointment. Vaccine hesitancy accounts for about one-third of adults. For example, the Kaiser Family Foundation ran a survey in April that found 15 percent of respondents who had not received the vaccine plan to “wait and see.” Another 6 percent will get vaccinated “only if required,” and 13 percent refuse to get the vaccine.
Correcting Misconceptions of Health Care Reform
One reader posed the question, how does the tax break for employee health insurance harm our health care system? Short answer: over time the practice reduced competition, which weakened cost-control and resulted in health care inflation three times that of consumer inflation. Consider this: once covered by generous health plans, workers cared less about what medical care cost because their health plans paid most of the tab. Employers didn’t care what things cost because they were passing on the costs to workers (indirectly) in lieu of higher cash wages. Third party administrators (TPAs), who manage the benefits for employers, didn’t much care what things cost because they were passing on the costs to employers with a mark-up. The more money spent, the more TPAs earn.
Health Reform: There Is Something for Everyone to Love… and Hate
Why is it controversial to expand the physician supply, creating more competition? Doctors oppose it, just like they oppose expanding the scope of practice for nurse practitioners. Doctors don’t want me to be able to see a nurse practitioner or physician assistant for a wart on my toe unless that NP/PA works for them.
How did doctors get so powerful? In the first half of the 20th Century, the American Medical Association (AMA) waged a largely successful battle to close medical schools that trained competing physicians. …. More than half of American and Canadian medical schools were closed…. Thus, the job of a physician was yanked out of reach of all but the smartest, most disciplined, wealthy elites.
The 60 Percent Solution to Reforming Healthcare
Can we transform the entire health care system by empowering the roughly 60 percent of patients who are in private health plans? That’s the premise of a new book I just read by Todd Furniss (@TFurniss on Twitter). The author ofThe 60% Solution: Rethinking Healthcare, believes there are five major reforms necessary to empower patients and help them get better care at better prices. These include: (1) change governance, (2) modify health savings accounts (HSAs), (3) clear prices, (4) standardize accounting and information technology in the medical industry and (5) emphasize primary care.
Herrick: OBAMACARE RATIONS CARE FOR THE SICK AND OVERCHARGES THE HEALTHY
The health care reform debate that lead to Obamacare was initially about covering the uninsured, but in order to gain the support of ordinary people who already had coverage, proponents had to figure out a way to sway public opinion.
Herrick: States Should Ban These Lab Scams
There is a new health care scam spreading across rural America that could cost you plenty. Large commercial labs like Quest Diagnostics and LabCorp do not have locations in every small town. As a result, many rural hospitals perform lab work for both their inpatients and outpatients in the local community.
The Perils of Trying to Become a Doctor
This week the National Resident Matching Program (Match) will inform between 45,000 to 50,000 medical graduates whether they have a career in medicine or should try for Plan B. Some of those who failed to match (about 20 percent) will spend the rest of their lives trying to pay down $300,000 in medical school debt without an income capable of servicing that debt.
How a Questionable Drug Turned into a Goldmine at Taxpayers’ Expense
On June 7th the U.S. Food and Drug Administration approved a new drug to treat early-stage Alzheimer’s disease. Is this good news for patients suffering with Alzheimer’s disease? Probably not and certainly not for taxpayers. The clinical trial data found little evidence the drug works. One Phase 3 clinical trial showed a slight slowing in cognitive decline, while the second clinical trial failed to show any improvement.
The Perils of Trying to Become a Doctor
This week the National Resident Matching Program (Match) will inform between 45,000 to 50,000 medical graduates whether they have a career in medicine or should try for Plan B. Some of those who failed to match (about 20 percent) will spend the rest of their lives trying to pay down $300,000 in medical school debt without an income capable of servicing that debt.
California Dreaming
California legislators want the state to provide free health care to every resident, including undocumented immigrants. Under the act, it would be illegal for any resident to pay a doctor privately for any medical treatment covered by CalCare. John Goodman and Linda Gorman predict higher taxes, less choice, an exodus of doctors and nurses out of the state, rationing by waiting, and something actually worse than Medicaid for all. See our editorial in the Orange County Register.
Leftists in Colorado Seem Poised to Try Again for Single Payer Health Insurance
Last time around, the idea was rejected by almost 79% of the voters. And for good reasons. British Columbia’s single payer system is so mismanaged it pays for cancer patient radiation treatments in Bellingham, Washington. Its hip replacement wait can be almost a year… Because Canadian patients wait twice as long as recommended for MRI scans, those who can afford it pay cash for quick service at US imaging centers in border cities like Buffalo, NY and Bellevue, WA. More.
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
Hidden Traps in the IRA Bill’s Drug Provisions
In the near future, the elderly and the disabled will face a double whammy: higher premiums for Part D drug insurance and higher prices at the pharmacy. This is on top of negotiated prices (and the consequent drop in new drug production) which will kick in later in the decade.
John Goodman and Linda Gorman explain why this will happen in The Hill.
The $3.5T Spending Mistake
Congressional Democrats are proposing to spend an enormous amount of taxpayer dollars on what the New York Times calls a “cradle to the grave” addition to U.S. social welfare. When budgeting shenanigans are ignored, the Committee for a Responsible Federal Budget estimates that the full cost is not the $3.5 trillion that has been widely advertised, but at least $5.0 trillion and possibly as much as $5.5 trillion.
Gorman: US Hospitals are Safer
A frequent criticism of US hospitals is the charge of excessive adverse medical events, sometimes leading to avoidable deaths. How do our hospitals compare to hospitals in national health care systems? Quite well. The percent of patients who experience an adverse event is twice as high in Canada, three times as high in Britain and four times as high in New Zealand.
If The Court Strikes Down Obamacare, How Bad Would That Be?
This article was coauthored by Linda Gorman, director of health care at the Independence Institute in Denver, Colorado.
Gorman in The Hill: Trump’s Drug Plan Wrong Rx
The Trump administration wants to use an average of the drug prices paid by other countries to limit what Medicare Part B pays for some drugs. This is a bad idea.
California Dreaming
California legislators want the state to provide free health care to every resident, including undocumented immigrants. Under the act, it would be illegal for any resident to pay a doctor privately for any medical treatment covered by CalCare. John Goodman and Linda Gorman predict higher taxes, less choice, an exodus of doctors and nurses out of the state, rationing by waiting, and something actually worse than Medicaid for all. See our editorial in the Orange County Register.
Leftists in Colorado Seem Poised to Try Again for Single Payer Health Insurance
Last time around, the idea was rejected by almost 79% of the voters. And for good reasons. British Columbia’s single payer system is so mismanaged it pays for cancer patient radiation treatments in Bellingham, Washington. Its hip replacement wait can be almost a year… Because Canadian patients wait twice as long as recommended for MRI scans, those who can afford it pay cash for quick service at US imaging centers in border cities like Buffalo, NY and Bellevue, WA. More.
California Dreaming
California legislators want the state to provide free health care to every resident, including undocumented immigrants. Under the act, it would be illegal for any resident to pay a doctor privately for any medical treatment covered by CalCare. John Goodman and Linda Gorman predict higher taxes, less choice, an exodus of doctors and nurses out of the state, rationing by waiting, and something actually worse than Medicaid for all. See our editorial in the Orange County Register.
Farewell
Some thoughts on the views that have animated this column. By Pete du Pont May 27, 2014 Source: The Wall Street Journal This will be the last of my columns for this publication, so I thought it fitting to note the views that have most influenced these writings....
The Real Inequality Problem
It isn’t that some people are wealthy but that others are struggling. Commentary by Pete du Pont April 28, 2014 Source: The Wall Street Journal Among the too numerous frustrations of the political process is that a lot of smart and talented people spend their time and...
The Left’s “Wars”
The Left’s “Wars” Commentary by Pete du Pont March 28, 2014 Source: The Wall Street Journal The midterm elections are just over seven months away and the left has unleashed its usual rhetoric about the Republican "war on women." It's baseless political pandering of...
Global Warming Heats Up
The public could use an honest debate. Commentary by Pete du Pont February 27, 2014 Source: The Wall Street Journal Global warming is back. Not actual global warming, as the decadelong trend of little to no increase in temperatures continues. But the topic of global...
Our Gravest Peril
ObamaCare? Stagnant economy? Crushing debt? Foreign policy fecklessness may trump them all. Commentary by Pete du Pont January 21, 2014 Source: Wall Street Journal America's most worrisome problem may not be the failed takeover of our healthcare system. It may not be...
The Great Destroyer
ObamaCare wreaks havoc on health care, the economy, American freedom and Obama's presidency. Commentary by Pete du Pont November 25, 2013 Source:The Wall Street Journal Polls show an increasing majority of Americans dislike President Obama's healthcare law and...
Hillary Will Run
How could she not? Commentary by Pete du Pont October 29, 2013 Source: Wall Street Journal Hillary Clinton is going to run for president in 2016. Granted, she is exhibiting even more coyness than most presidential prospects, and yes, the media are filled with those...
The Beltway Stalemate
Democrats and Republicans have never had such a conflict of visions. Commentary by Pete du Pont September 26, 2013 Source: The Wall Street Journal The debate about military action in Syria seems over for now, and Washington is back in campaign mode. We have a...
Farewell
Some thoughts on the views that have animated this column. By Pete du Pont May 27, 2014 Source: The Wall Street Journal This will be the last of my columns for this publication, so I thought it fitting to note the views that have most influenced these writings....
The Real Inequality Problem
It isn’t that some people are wealthy but that others are struggling. Commentary by Pete du Pont April 28, 2014 Source: The Wall Street Journal Among the too numerous frustrations of the political process is that a lot of smart and talented people spend their time and...
Farewell
Some thoughts on the views that have animated this column. By Pete du Pont May 27, 2014 Source: The Wall Street Journal This will be the last of my columns for this publication, so I thought it fitting to note the views that have most influenced these writings....
Why Social Security Needs DOGE
If the Department of Government Efficiency (DOGE) can stop our Social Security system from sending checks to dead people, that would be a plus. Yet a far more important task is to stop the system from overpaying people who are very much alive. Last year the Social Security Administration admitted it had identified 2 million beneficiaries who have been overpaid and sent them “clawback” letters, demanding the government’s money back. Some of these claims go back several decades, and they can amount to hundreds of thousands of dollars. More
Let’s Not Blame Jane Jacobs
My late husband and I had a running debate over which force mattered the most: downtown landowners who wanted to keep up rents (Rick’s view) or urban planners (my view). Rick, the economist, may well have been right—especially about the devastation of Boston that goes back to the 1950s—but planners are at fault, too. That’s the subject of this post.
House Republicans Love HSAs
Industry experts believe that the House reconciliation bill would result in 20 million more Americans having a Health Savings Account. Among the changes, Bronze and catastrophic plans sold in the (Obamacare) exchanges would automatically qualify for HSAs. And people could use their HSA to pay the monthly premium of a direct primary care doctor of their choosing – providing 24/7 primary care.
However, John Goodman says that for the same CBO score, the Senate could make the bill much better. More.
What the GOP Should Be Doing About Medicaid
In his latest commentary at Forbes, John Goodman explains a huge, missed opportunity by House Republicans.
They should have focused on why Medicaid does such a poor job of meeting the needs of the enrollees. Then, they should have explored ways of making Medicaid better and reducing spending at the same time. This would have been a very positive message to voters.
Let’s hope this turns around in the Senate. More.
What Price for Drugs?
When was the last time you saw a news headline announcing that a cancer patient died because she couldn’t afford a drug that could have saved her life? I bet you haven’t. Why? Because it doesn’t happen. At least not in this country. President Trump doesn’t understand the market for drugs. He is not alone. Most people don’t understand it. Here is John Goodman’s contribution to clear thinking:
- In Part I, he asks readers to imagine a free market for drugs, in which drug manufacturers are given a patent for a certain length of time. The patent allows drug companies to charge a monopoly price. But by price discriminating, they insure that almost no one goes without a lifesaving drug.
- In Part II, he asks how free market health insurance would cover expensive drugs. People who are more risk averse would purchase “top up” plans to pay for drugs conventional insurance finds not cost effective.
- In Part III, he shows that both public insurance and unwisely-regulated private health insurance face perverse incentives to favor the healthy over the sick. Reforms are suggested.
How the Barbarians Won
Have you ever thought about the difference between the biblical Jesus who said that the meek will inherit the earth and the Christ in whose name the Crusaders warred against Muslims and Jews?
These examples are, of course, at the extremes of Christianity—Jesus’ love of the least-favored people versus triumphant soldiers who went to war with the cross on their flags. But the image of Christians conducting wars and inflicting pain still jars us, and it is impossible for Christians to approve of those who took over Jerusalem in 1099 and massacred Muslims and Jews in the process.
How did this transformation take place?
$1T in Medicaid Cuts That Leave Beneficiaries Better Off
John Goodman identifies 12 reforms to Medicaid that will Allow Republicans to reach their budget goals without reducing any real benefit for enrollees. Among the ideas: let enrollees buy medical care the way they buy food with food stamps, have a heath savings account and have access to 24/7 direct primary care. More
China’s Decades-Long Tragedy
We are witnessing one of the greatest ironies of modern history: the population policy of the Chinese government. The state’s coercive one-child policy—complete with forced birth control, sterilizations, late (even caesarean) abortions, and likely infanticide—began...
Why Social Security Needs DOGE
If the Department of Government Efficiency (DOGE) can stop our Social Security system from sending checks to dead people, that would be a plus. Yet a far more important task is to stop the system from overpaying people who are very much alive. Last year the Social Security Administration admitted it had identified 2 million beneficiaries who have been overpaid and sent them “clawback” letters, demanding the government’s money back. Some of these claims go back several decades, and they can amount to hundreds of thousands of dollars. More
Let’s Not Blame Jane Jacobs
My late husband and I had a running debate over which force mattered the most: downtown landowners who wanted to keep up rents (Rick’s view) or urban planners (my view). Rick, the economist, may well have been right—especially about the devastation of Boston that goes back to the 1950s—but planners are at fault, too. That’s the subject of this post.
Why Social Security Needs DOGE
If the Department of Government Efficiency (DOGE) can stop our Social Security system from sending checks to dead people, that would be a plus. Yet a far more important task is to stop the system from overpaying people who are very much alive. Last year the Social Security Administration admitted it had identified 2 million beneficiaries who have been overpaid and sent them “clawback” letters, demanding the government’s money back. Some of these claims go back several decades, and they can amount to hundreds of thousands of dollars. More