Making Drugs Safe and Available without the FDA

There is widespread agreement that the United States Food and Drug Administration (FDA) needs reforming. The drug approval process in the United States is too slow, too expensive and too restrictive. The FDA delays the introduction of new drugs for up to 12 years and does not publish standards of safety or effectiveness that any drug can meet to ensure its approval.

Factories Behind Bars

Despite a consensus of the American public that prison inmates should be gainfully employed, most are idle. Their idleness contrasts sharply with the circumstances of their 19th-century counterparts. This study analyzes the American experience of private employment of prisoners and concludes that the advantages far outweigh the disadvantages. Expanding the role of the private sector in prison work would reduce crime, increase economic growth and reduce the burden of the criminal justice system on taxpayers.

The Economic Effects of A Flat Tax

Using an economic model published in several peer-reviewed journals – a computable general equilibrium (CGE) model – this study examines the effects of a 17 percent flat tax on the various sectors of the economy, on the income of different income groups and on government revenues.

Medical Savings Accounts: The Singapore Experience

The Singapore programs provide incentives to reduce consumption and offer protection against extraordinary events and free-rider abuses. The system is efficient and effective, the health status of the people is improving and the national investment in health care is surprisingly low, while hospitals are profitable and physician incomes are relatively high.

Private Alternatives To Social Security in Other Countries

Social security programs in most countries, including the United States, follow the model first adopted in Europe: they are financed by mandatory payroll taxes and provide benefits to current retirees. A financial crisis facing these pay-as-you-go systems is approaching rapidly as fertility rates decline and life expectancies increase worldwide.

Reforming Medicaid

While growth in private-sector health care spending has declined recently, spending on Medicaid, the federal-state health insurance program for the nation's poor, has continued to explode – growing at an average annual rate of 19.1 percent between 1990 and 1994.

Multiculturalism and Economic Growth

Multiculturalism is in vogue today among academicians, politicians and the media. But anthropologists identify cultural diversity as a universal source of social conflict and often as a barrier to economic progress as well as personal freedom.

Crime and Punishment in America

Serious crime in the United States exploded during the 1960s and 1970s. It began to level off during the 1980s and has actually declined in the 1990s; however, the rate of serious crime remains three times higher than in 1960.

Should We Worry About Ozone?

A theory held by some scientists is that the depletion of stratospheric ozone is substantial and will grow to alarming levels unless the use of CFCs and some related chemical compounds is eliminated. This theory led to an international treaty requiring that production of CFCs be rapidly phased out in developed countries. However, the theory of large-scale depletion caused by human use of these chemicals is not yet supported by solid scientific evidence.

Law, Liberty and Economic Growth

Previous scholarly studies have demonstrated a statistically significant relationship between political and civil liberty and economic growth. This study surveys legal systems in 167 countries and compares the relationship between law, liberty and economic growth.

Forecasting the Effects of the Mitchell Health Bill

The health refonn plan proposed by Senator George Mitchell CD-ME) attempts to increase the number of people with health insurance by offering generous subsidies to induce voluntary compliance. Employer mandates would kick in only if the fraction of people with insurance failed to reach 95 percent in a state by the end of the decade. Reaching that goal is unlikely, however. The reason is that the Mitchell bill would allow people to purchase insurance at community-rated premiums after they get sick – thus encouraging them to go uninsured until an illness occurs.

Forecasting the Effects of the Clinton Health Plan

The Clinton health plan promises to insure the uninsured and to replace existing coverage with more generous health insurance benefits for most people. At the same time, the administration claims that under its plan health care spending would be lower than it would have been without reform, both in the public and private sectors.

The Clinton Health Plan

President Clinton has offered the nation a dramatic health reform plan that promises universal coverage, benefits as comprehensive as those of Fortune 500 company plans and lower costs.  The actual results of the plan, however would be quite different from the promises.

A Primer on Managed Competition

Managed competition would make no sense unless most health care were delivered in health maintenance organizations (HMOs), employing the techniques of managed care. That is why most proponents of managed competition oppose traditional insurance and fee-for-service medicine. They want physicians to become agents of bureaucracies rather than agents of their patients, and they want medical practice to be determined more by computer-generated mandates than by the physician's best judgment.