Don’t Destroy Medicare Advantage

Don’t Destroy Medicare Advantage

Writing in the Wall Street Journal, John Goodman says the Medicare Advantage program is arguably our best health care system, while Medicaid is the worst. Yet essentially the same private insurers are involved in administering both programs, just as they are the main players managing employer plans and (Obamacare) exchange plans.

The best feature of the MA program is that these plans are the only plans in the whole health care system that actually try to attract sick enrollees. That’s because they get risk adjusted premiums that reflect the higher cost of care.

Right now, MA enrollees save about $2,500 to $3,000 a year when they choose an MA plan over traditional Medicare. A House bill introduced by Lloyd Doggett (D-TX) and 40 other liberal Democrats would eliminate those savings as well as free extra benefits (hearing, eye and dental care, etc.) MA plans provide.

More

What is Socialism?

What is Socialism?

If you can believe the polls, socialism is more popular than ever. Gallop says that roughly two-thirds of Democrats have a positive view of socialism. The same is true for half of young adults. But what exactly is socialism? If it means anything it means a lack of economic freedom. In a socialist world, people are not at liberty to engage in free exchange with each other. Every economic transaction is regulated or potentially regulated by the state.

To Save Rural Health Care, Bring It Out of The Dark Ages

To Save Rural Health Care, Bring It Out of The Dark Ages

This op ed is based on a longer publication here on our web site. The federal government is offering the states $50 billion over the next five years, and it’s up to the states to propose ways of spending the money. John Goodman has a number of proposals, including use of drones, greater use of telemedicine along with free market pricing, direct primary care, and deregulation of the hospital sector, health insurance and medical practice law.

Rural Health Care

Rural Health Care

The federal government is offering the states $50 billion over the next five years, and its up to the states to propose ways of spending the money. John Goodman has a number of proposals, including use of drones, greater use of telemedicine along with free market pricing, direct primary care, and deregulation of the hospital sector, health insurance and medical practice law. Click to view the Publication.

An Alternative to High Deductibles

An Alternative to High Deductibles

Next year, the out-of-pocket exposure for someone who buys insurance on the (Obamacare) exchange will be $12,000. It will be $24,000 for a family. If they have chronic health problems, families can face those costs every year.

Congressman Pete Sessions and John Goodman offer a better alternative. Give people a deposit to a Health Savings Account if they agree to be responsible for all preventive care, all primary care, chronic care management, or some other area of care.

The model is Cash and Counseling, the Medicaid program for the home-bound disabled – a highly successful program that has been around for several decades. More

Trump’s Best Health Care Idea

Trump’s Best Health Care Idea

Writing in the Wall Street Journal, John Goodman says the Trump Administration’s proposal to permit non-network health plans “promises to solve two problems: extreme differences in actual prices for the same service because of a lack of price competition, and narrow networks that are denying patients access to the best doctors and medical facilities.” More.

The Morality of Taxation

The Morality of Taxation

In contrast to a moral approach to taxation, some argue for an immoral, or at least amoral, approach. The most prominent among them is former New York Times columnist Paul Krugman. His approach to taxation of the rich is the same approach a petty thief would take to garden-variety robbery: grab whatever you can get. Krugman guesses that the revenue-maximizing tax rate for someone like LeBron James could be as high as 90 percent. Slaves on southern plantations were able to consume a 9-times-greater share of their output than Krugman would allow for James. More.

Don’t Destroy Medicare Advantage

Don’t Destroy Medicare Advantage

Writing in the Wall Street Journal, John Goodman says the Medicare Advantage program is arguably our best health care system, while Medicaid is the worst. Yet essentially the same private insurers are involved in administering both programs, just as they are the main players managing employer plans and (Obamacare) exchange plans.

The best feature of the MA program is that these plans are the only plans in the whole health care system that actually try to attract sick enrollees. That’s because they get risk adjusted premiums that reflect the higher cost of care.

Right now, MA enrollees save about $2,500 to $3,000 a year when they choose an MA plan over traditional Medicare. A House bill introduced by Lloyd Doggett (D-TX) and 40 other liberal Democrats would eliminate those savings as well as free extra benefits (hearing, eye and dental care, etc.) MA plans provide.

More

Don’t Destroy Medicare Advantage

Don’t Destroy Medicare Advantage

Writing in the Wall Street Journal, John Goodman says the Medicare Advantage program is arguably our best health care system, while Medicaid is the worst. Yet essentially the same private insurers are involved in administering both programs, just as they are the main players managing employer plans and (Obamacare) exchange plans.

The best feature of the MA program is that these plans are the only plans in the whole health care system that actually try to attract sick enrollees. That’s because they get risk adjusted premiums that reflect the higher cost of care.

Right now, MA enrollees save about $2,500 to $3,000 a year when they choose an MA plan over traditional Medicare. A House bill introduced by Lloyd Doggett (D-TX) and 40 other liberal Democrats would eliminate those savings as well as free extra benefits (hearing, eye and dental care, etc.) MA plans provide.

More

Social Security Shortfall: More Than Twice What the Trustees Say It Is

Social Security Shortfall: More Than Twice What the Trustees Say It Is

In their latest report, the Social Security Trustees tell us that the program has an unfunded liability of $29.3 trillion. But back on page 231 of the latest report (where they hope no one will see it?) we learn that the real deficit is $71.9 trillion, more than two times the size of our GDP. Professor Laurence Kotlikoff explains the deception in a recent post. More.

 

Inflation is a Hidden Tax

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

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 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

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...

What the Debt Deal Ignored

What the Debt Deal Ignored

A month ago, Social Security’s Trustees published their annual reportTable 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

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.

Social Security Shortfall: More Than Twice What the Trustees Say It Is

Social Security Shortfall: More Than Twice What the Trustees Say It Is

In their latest report, the Social Security Trustees tell us that the program has an unfunded liability of $29.3 trillion. But back on page 231 of the latest report (where they hope no one will see it?) we learn that the real deficit is $71.9 trillion, more than two times the size of our GDP. Professor Laurence Kotlikoff explains the deception in a recent post. More.

 

Inflation is a Hidden Tax

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.

Social Security Shortfall: More Than Twice What the Trustees Say It Is

Social Security Shortfall: More Than Twice What the Trustees Say It Is

In their latest report, the Social Security Trustees tell us that the program has an unfunded liability of $29.3 trillion. But back on page 231 of the latest report (where they hope no one will see it?) we learn that the real deficit is $71.9 trillion, more than two times the size of our GDP. Professor Laurence Kotlikoff explains the deception in a recent post. More.

 

The Dual Nature of Land Acknowledgments

The Dual Nature of Land Acknowledgments

Land acknowledgments—formal statements admitting that Native Americans once owned the land a person is standing on—have become a fixture of commencements, public meetings, and websites. Yet ever since they became pervasive (around 2020), they have been controversial—among both conservatives and progressives, including Native Americans. 

While I agree with many of the critics, I think the acknowledgments have done a service, and I’ll tell you why in this article.

How Market Innovation Is Reframing the Climate Debate

How Market Innovation Is Reframing the Climate Debate

By all accounts, climate change alarmists are on the defensive—politically, scientifically, I would even say morally (see Bill Gates’s comment). We could leave it at that. But there may be hope for a truce in this conflict—and if so, capitalism can take the credit.

What I’ve Learned about History

What I’ve Learned about History

My academic adventure evolved into a struggle to understand why “change over time” (that’s how historians define history) occurs as it does. That is one of the reasons I created this blog: I was looking for a theory of history.

To some extent I have come up with one.

Let’s Not Blame Jane Jacobs

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

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

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...

Before Heretics Were Persecuted

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.

The Dual Nature of Land Acknowledgments

The Dual Nature of Land Acknowledgments

Land acknowledgments—formal statements admitting that Native Americans once owned the land a person is standing on—have become a fixture of commencements, public meetings, and websites. Yet ever since they became pervasive (around 2020), they have been controversial—among both conservatives and progressives, including Native Americans. 

While I agree with many of the critics, I think the acknowledgments have done a service, and I’ll tell you why in this article.

How Market Innovation Is Reframing the Climate Debate

How Market Innovation Is Reframing the Climate Debate

By all accounts, climate change alarmists are on the defensive—politically, scientifically, I would even say morally (see Bill Gates’s comment). We could leave it at that. But there may be hope for a truce in this conflict—and if so, capitalism can take the credit.

The Dual Nature of Land Acknowledgments

The Dual Nature of Land Acknowledgments

Land acknowledgments—formal statements admitting that Native Americans once owned the land a person is standing on—have become a fixture of commencements, public meetings, and websites. Yet ever since they became pervasive (around 2020), they have been controversial—among both conservatives and progressives, including Native Americans. 

While I agree with many of the critics, I think the acknowledgments have done a service, and I’ll tell you why in this article.

Savings and Gramm: How the Fed is Slowing Monetary Growth

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

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

Tom Saving has a new book called A Century of Federal Reserve Monetary Policy: Issues and Implications for the Future.

Goodman and Saving: Budget Deal’s Trillion Dollar Surprise

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.

Savings and Gramm: How the Fed is Slowing Monetary Growth

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

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?

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

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

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

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

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

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 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

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

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

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: States Should Ban These Lab Scams

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

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

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

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 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

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

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

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

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

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. 

California Dreaming

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

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 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

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....

Farewell

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

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...

Farewell

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...

Farewell

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...

Farewell

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...

Farewell

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...

Farewell

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

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....

Farewell

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

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....

Don’t Destroy Medicare Advantage

Don’t Destroy Medicare Advantage

Writing in the Wall Street Journal, John Goodman says the Medicare Advantage program is arguably our best health care system, while Medicaid is the worst. Yet essentially the same private insurers are involved in administering both programs, just as they are the main players managing employer plans and (Obamacare) exchange plans.

The best feature of the MA program is that these plans are the only plans in the whole health care system that actually try to attract sick enrollees. That’s because they get risk adjusted premiums that reflect the higher cost of care.

Right now, MA enrollees save about $2,500 to $3,000 a year when they choose an MA plan over traditional Medicare. A House bill introduced by Lloyd Doggett (D-TX) and 40 other liberal Democrats would eliminate those savings as well as free extra benefits (hearing, eye and dental care, etc.) MA plans provide.

More

The Dual Nature of Land Acknowledgments

The Dual Nature of Land Acknowledgments

Land acknowledgments—formal statements admitting that Native Americans once owned the land a person is standing on—have become a fixture of commencements, public meetings, and websites. Yet ever since they became pervasive (around 2020), they have been controversial—among both conservatives and progressives, including Native Americans. 

While I agree with many of the critics, I think the acknowledgments have done a service, and I’ll tell you why in this article.

What is Socialism?

What is Socialism?

If you can believe the polls, socialism is more popular than ever. Gallop says that roughly two-thirds of Democrats have a positive view of socialism. The same is true for half of young adults. But what exactly is socialism? If it means anything it means a lack of economic freedom. In a socialist world, people are not at liberty to engage in free exchange with each other. Every economic transaction is regulated or potentially regulated by the state.

Social Security Shortfall: More Than Twice What the Trustees Say It Is

Social Security Shortfall: More Than Twice What the Trustees Say It Is

In their latest report, the Social Security Trustees tell us that the program has an unfunded liability of $29.3 trillion. But back on page 231 of the latest report (where they hope no one will see it?) we learn that the real deficit is $71.9 trillion, more than two times the size of our GDP. Professor Laurence Kotlikoff explains the deception in a recent post. More.

 

How Market Innovation Is Reframing the Climate Debate

How Market Innovation Is Reframing the Climate Debate

By all accounts, climate change alarmists are on the defensive—politically, scientifically, I would even say morally (see Bill Gates’s comment). We could leave it at that. But there may be hope for a truce in this conflict—and if so, capitalism can take the credit.

To Save Rural Health Care, Bring It Out of The Dark Ages

To Save Rural Health Care, Bring It Out of The Dark Ages

This op ed is based on a longer publication here on our web site. The federal government is offering the states $50 billion over the next five years, and it’s up to the states to propose ways of spending the money. John Goodman has a number of proposals, including use of drones, greater use of telemedicine along with free market pricing, direct primary care, and deregulation of the hospital sector, health insurance and medical practice law.

Rural Health Care

Rural Health Care

The federal government is offering the states $50 billion over the next five years, and its up to the states to propose ways of spending the money. John Goodman has a number of proposals, including use of drones, greater use of telemedicine along with free market pricing, direct primary care, and deregulation of the hospital sector, health insurance and medical practice law. Click to view the Publication.

Don’t Destroy Medicare Advantage

Don’t Destroy Medicare Advantage

Writing in the Wall Street Journal, John Goodman says the Medicare Advantage program is arguably our best health care system, while Medicaid is the worst. Yet essentially the same private insurers are involved in administering both programs, just as they are the main players managing employer plans and (Obamacare) exchange plans.

The best feature of the MA program is that these plans are the only plans in the whole health care system that actually try to attract sick enrollees. That’s because they get risk adjusted premiums that reflect the higher cost of care.

Right now, MA enrollees save about $2,500 to $3,000 a year when they choose an MA plan over traditional Medicare. A House bill introduced by Lloyd Doggett (D-TX) and 40 other liberal Democrats would eliminate those savings as well as free extra benefits (hearing, eye and dental care, etc.) MA plans provide.

More

Don’t Destroy Medicare Advantage

Don’t Destroy Medicare Advantage

Writing in the Wall Street Journal, John Goodman says the Medicare Advantage program is arguably our best health care system, while Medicaid is the worst. Yet essentially the same private insurers are involved in administering both programs, just as they are the main players managing employer plans and (Obamacare) exchange plans.

The best feature of the MA program is that these plans are the only plans in the whole health care system that actually try to attract sick enrollees. That’s because they get risk adjusted premiums that reflect the higher cost of care.

Right now, MA enrollees save about $2,500 to $3,000 a year when they choose an MA plan over traditional Medicare. A House bill introduced by Lloyd Doggett (D-TX) and 40 other liberal Democrats would eliminate those savings as well as free extra benefits (hearing, eye and dental care, etc.) MA plans provide.

More