The Real Reason Health Spending Has Slowed

President Obama tells us that “health care costs are growing at the slowest rate in 50 years.” He and members of his administration attribute that trend to the Affordable Care Act. But ObamaCare is just taking effect this year, while the slowdown has been underway over a decade. [See Figure I.]

A Brief History of Health Savings Accounts

In January 2004, 250 million non-elderly Americans gained access in principle to health savings accounts (HSAs). Since then, individuals have been able to self-insure for some of their own medical needs and manage some of their own health care dollars.

Reforming Florida’s Medicaid Drug Program

Florida is moving aggressively to cover Medicaid enrollees in privately-administered managed care plans. The state should also continue to move enrollees to managed drug plans. Virtually all state Medicaid programs distribute some drugs on a fee-for-service (FFS) basis separately from any health plan.

Reforming Michigan’s Medicaid Drug Program

Michigan is moving to cover Medicaid enrollees in privately-administered managed care plans. The state should also continue to move enrollees to managed drug plans. Virtually all state Medicaid programs distribute some drugs on a fee-for-service (FFS) basis separately from any health plan. Nearly half of the states carve out and administer drug benefits separately, distributing all Medicaid drugs this way.

The Global Environmental Facility: A Dismal Failure

The United States has financed several global initiatives to benefit the environment. One of these efforts is the Global Environmental Facility (GEF).[i] The GEF funds international projects to preserve biodiversity, prevent global warming, protect international waters, stop land degradation, save the ozone layer and remove persistent organic pollutants.[ii]

Foreign Investment in the United States and Three Latin American Countries

Individuals and businesses in one country may transfer wealth to another country by investing in its business enterprises; this kind of wealth transfer is called foreign direct investment. Similarly, citizens of a given country may also put their money in another country’s banks, which will in turn make loans to individuals and enterprises; this activity is known as  indirect foreign investment.

Limiting Retirement Account Growth Would Punish Saving

President Obama’s proposed 2014 budget includes a limit on the growth of tax-advantaged retirement accounts. Though Congress is unlikely to adopt his budget proposal, the idea of limiting retirement account accumulations could garner support among policymakers who favor wealth taxes.

Are Corporate Bonds Worth a Look?

In this age of low returns on certificates of deposit and jitters over the stock market, many investors wonder where to put their money. One option is corporate bonds. Corporations issue bonds to finance expansion or acquisition of other firms. According to the Securities Industry and Financial Markets Association, the value of U.S. corporate bonds was $1.36 trillion in 2012.

The Pitfalls of Internet Sales Tax Collection

Internet sales accounted for a growing share of consumer spending over the last decade. Now smart phones and wireless networks provide an almost unlimited ability to shop and purchase goods electronically. Though consumers benefit from this technology, “brick-and-mortar” stores are losing market share to “remote” competitors.

The Payroll Tax Holiday

In December 2010 President Obama traded Congress a two-year extension of the Bush-era tax cuts for a one-year, 2 percentage-point payroll tax holiday and additional unemployment benefits. The “Temporary Employee Payroll Tax Cut” reduced the employee portion of the Social Security payroll tax from 6.2 percent to 4.2 percent on individual earnings up to the taxable maximum of $110,100.

The Fiscal Cliff and the Next Recession

On January 1, 2013, taxes will go up and federal spending will be cut as a result of an agreement last summer between House Republicans and President Obama. Under current law, increases in the top rate of nearly every major federal tax will go into effect on January 1 because the Bush tax cuts expire and tax increases to pay for ObamaCare go into effect.

Understanding Job Statistics

Employment dropped dramatically in 2008 and 2009. The economic recovery (in gross domestic product) began in June 2009, but it has been an unusually slow recovery, with job growth even slower. As a result, jobs are the biggest issue facing the economy and policymakers.

The Dodd-Frank Act versus the Rule of Law

In response to the 2008 financial collapse, Congress passed the Dodd-Frank Wall Street Reform and Consumer Protection Act. Dodd-Frank increased regulation of banks, stockbrokers, insurers and other financial institutions that are “too big — or interconnected — to fail” and that could require a government bailout to prevent a banking system collapse.

Privatization and Competition in New York City Transit

Our nation has gone to great lengths to protect people from private monopolies through the Sherman and Clayton Antitrust Acts, the Justice Department’s antitrust unit, and public service commissions that regulate utilities in every state. All this effort is directed against the actions of privately owned companies that would like to raise their prices and increase their profits.

Solving the Problem of Traffic Congestion

Traffic congestion is a growing problem in many metropolitan areas. Congestion increases travel time, air pollution, carbon dioxide (CO2) emissions and fuel use because cars cannot run efficiently. The number of hours Americans waste sitting in traffic more than quintupled between 1982 and 2005, according to the Texas Transportation Institute.

The Crisis of the Uninsured Is Far from Over

The number of people who lack health coverage fell to 48.6 million in 2011 — down slightly from 49.9 million the year before, according to the U.S. Census Bureau. A bright spot in the new report is that about 407,000 fewer adults between the ages of 35 and 44 were uninsured in 2011.

Medicare’s New Price Control Board

Medicare spending has been growing faster than the economy for four decades. In 2010, Medicare required nearly $280 billion in general revenue transfers to meet its obligations. By 2020 the cash-flow deficit will reach $600 billion, absent policy changes.

Do the Rich Pay Their Fair Share in Taxes?

The central theme of President Obama’s tax policy has been that ‘the rich’ do not pay their fair share of federal taxes, and the middle class pays more as a result. But a report issued by the Congressional Budget Office (CBO) in July 2012 shows this to be false.

Accountable Care Organizations: Panacea or Train Wreck?

One of the hottest new ideas in health care is the Accountable Care Organization (ACO).  Similar to health maintenance organizations (HMOs), ACOs are designed to bring hospitals, physicians and insurers together to reduce health care costs by improving quality and reducing expenditures for unnecessary tests and procedures.