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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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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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Our Fiscal System Needs Reform

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.

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