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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….

Op-Ed

Assessing President Trump’s Plan to Lower Health Care Costs

Last week, the Trump White House released a plan to reduce health care costs that is consistent with its approach to many differing questions. There was a dominant populist impulse,…

Article

Don’t Expect an AI Job Apocalypse

My fellow pro-growth/progress/abundance Up Wingers in the USA and around the world: Fears that technology will render human labor obsolete are nearly as old as industrial machinery itself. Of course,…

Blog Post

Improving Medicare Program Integrity

While the fraud scandal in Minnesota has set in motion renewed scrutiny of Medicaid and other low-income support programs, the potential for losses in another large entitlement, namely Medicare, should…