It’s Already Too Late to Avoid the Train Wreck

Though the administration has secured a month’s reprieve from the woes of implementing the Affordable Care Act by promising that the dysfunctional online enrollment system will be up and running by the end of November, as I argue in a column at e21, the delayed launch of the program has already caused serious problems that will not...

Debating Ezekiel Emanuel on the Obamacare Launch

On Sunday I was invited to appear on Chris Wallace’s program to discuss the Obamacare rollout and its impact on the insurance market with one of the law’s architects, Ezekiel Emanuel. You can watch a video of the debate, or read a transcript at FoxNews.com.

Obamacare’s Unlikely Coverage Goal

In the midst of the troubled launch of Obamacare’s health insurance exchanges, it is looking less and less likely that the law will lead to the net increase of insured Americans that the administration has promised, as I explain in a column at National Review Online. At the time of enactment, CBO estimated that the net...

Obamacare’s Mugged by Reality Moment

With the serious setbacks facing the implementation of the Affordable Care Act, it is starting to look like it would be best for opponents of the law to wait for the disaster to unfold to reap the political benefits of its collapse in 2014. But, as I argue in a column at The Weekly Standard, pushing for delaying the individual mandate...

Beware the Pivot to a ‘Grand Bargain’

In the ongoing debate over the government shutdown and the upcoming negotiations over the debt ceiling, Republicans should continue to focus on extracting concessions on Obamacare, rather than “pivoting” to a more general debate over the budget. As I argue in a column at National Review Online, the implementation of Obamacare...

CBO’s Long-Term Budget Projections: The Outlook Is Even Worse Than It Looks

Last month, the Congressional Budget Office released its annual update to its long-term budget projections, and as I explain in a post on the Health Affairs blog, the unsustainable debt and deficits forecasted by the CBO are due to the familiar causes of growing entitlement spending, especially in health care. The cause of the soaring...

Win the Argument: How the GOP Can Get the Upper Hand

In a column at The Weekly Standard, I argue that Republicans should use the budget debates over the government shutdown as a chance to argue for a delay of the Affordable Care Act’s individual mandate. The political and substantive case for a delay in the individual mandate is compelling.  On a political level, what...

Some Progress on Premium Support

Medicare premium support, the entitlement reform plan that has been part of budgets passed by the House Republicans in 2011, 2012, and 2013, was harshly criticized during the last election, with the president repeatedly, and falsely, claiming that the plan would “end Medicare as we know it.” But, as I explain in a column at...

Health Spending Projections from the CMS

Yesterday, Health Affairs released the annual projections of national health expenditures (NHE) from the Office of the Actuary at the Center for Medicare and Medicaid Services (CMS). In conjunction with the release of the new projections, Health Affairs asked the lead CMS author, Gigi Cuckler, to provide an...

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