Obamacare’s slow repeal?

While we are waiting for the King v. Burwell verdict, which could repeal large sections of Obamacare, the house of representatives has already approved rolling back some ACA provisions. Modern Healthcare reports: Lawmakers postponed final passage of the proposed Protecting Seniors’ Access to Medicare Act despite a majority voting in favor of the bill. The…

Is IPAB the new “Doc Fix”?

There has much debate in the Presidential debates about IPAB, the Independent Payment Advisory Board. IPAB can make cuts to Medicare spending, but the question is whether any of these recommended cuts would  ever actually be enacted, since Congress can reverse any IPAB recommendation.  According to an article in The Hill, the answer may be…

“There isn’t a single honest health economist out there who agrees with…”

There has been much discussion over whether the Independent Payment Advisory Board (IPAB) created by the Affordable Care Act (i.e., Obamacare), can ration care.  Mitt Romney claims “an unelected board that’s going to tell people ultimately what kind of treatments they can have,” whereas President Obama notes that no provision in the law that empowers…

Do we need less democracy?

In The New Republic, Peter Orzag argues that to fix our budget mess, we need less democracy.  Specifically, he argues that implementing the following four recommendations more consistently would improve the budget situation. Progressive tax code Permanently link taxes to the unemployment rate Backstop rules Independent institutions I have my doubts…