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Op-Ed

Microfinance Failures

It is hard to think of a philanthropic trend that had more widespread support than “microfinance.” The idea, launched in 1976 by economist Muhammad Yunus, offered small loans to impoverished women…

Op-Ed

States Are Wrestling with How to Deal with Substance-Exposed Infants. New Mexico Offers a Warning

…so has the pressure on doctors and hospitals. In recent years, New York Attorney General Letitia James has been investigating hospitals for discrimination in testing. One obvious response to this…

Blog Post

Chairman Smith Is Right About the Need for a Site-Neutral Policy in Medicare

At a hearing convened this week by the House Ways and Means Committee, Chairman Jason Smith criticized the assembled hospital executives for blocking a relatively straightforward Medicare payment adjustment that could lower…

Blog Post

Refocusing the Center for Medicare and Medicaid Innovation on Achieving Deep Cost Reductions

Spending on Medicare and Medicaid is pushing the federal budget to the breaking point, but, in the aftermath of the cuts enacted in the 2025 reconciliation bill, Congress might have difficulty…

Commentary

The More Things Change, Medicaid Edition

“Clinics” with suspect professional credentials running up bills for publicly-insured low-income patients. Outlandish claim volumes for questionable services, including unneeded tests and consultations. Harmful and abusive treatment of patients in…

Commentary

Summary and Analysis of the “Stop Unemployment Fraud Act”

…The authors of the legislation are Rep. Lloyd Smucker (R-PA), a senior member of the House Ways and Means Committee, and Sen. James Lankford (R-OK), a senior member of the…

Op-Ed

Reforming Health Care

Health care in the United States is generally excellent, but, in many cases, it is also needlessly expensive. Reform should focus on introducing greater cost discipline to this important sector…

Blog Post

The Mirage of “Pro-Worker AI” via Public Policy

Calls for governments to push “pro-worker AI” sound appealing. The idea is simple: If policymakers deftly guide how the technology develops, they can make sure it helps workers instead of…

Blog Post

The Side Effects of the No Surprises Act

In the final days of the first Trump administration, Congress attached a long-debated measure—the No Surprises Act (NSA)—to a must-pass appropriations bill with the intention of protecting patients from unexpected and…

Article

The End of Work? Not Yet—Maybe Not Ever

My fellow pro-growth/progress/abundance Up Wingers in the USA and around the world: Maybe this is an obvious point: If a) most “behind a screen” office tasks are fully automated by AI within…

Blog Post

The Congressional Budget Office’s Updated Projections

With the Trump administration holding back key details of its budget outlook, it has been difficult to track the cumulative effect of the flurry of changes to spending and tax…

Article

The AI Jobs ‘Bloodbath’ That Keeps Getting Postponed

My fellow pro-growth/progress/abundance Up Wingers in the USA and around the world: Perhaps the biggest source of US economic uncertainty this year is the job market. The trend isn’t great….