James Capretta has spent more than two decades studying American health care policy. As an associate director at the White House's Office of Management and Budget from 2001 to 2004, he was responsible for all health care, Social Security and welfare issues. Earlier, he served as a senior health policy analyst at the U.S. Senate Budget Committee and at the U.S. House Committee on Ways and Means. Capretta is also concurrently a Senior Fellow at the Ethics and Public Policy Center. At AEI, he will be researching how to replace the Patient Protection and Affordable Care Act (best known as Obamacare) with a less expensive reform plan to provide effective and secure health insurance for working-age Americans and their families.
Senior Fellow, Ethics and Public Policy Center, 2013 -present
Fellow, Ethics and Public Policy Center, 2006 -2012
Editorial Board, Health Affairs, 2012- present
Advisory Board, National Institute for Health Care Management, 2011-present
Associate Director for Human Resource Programs, Office of Management and Budget, 2001-2004
Senior Analyst, U.S. Senate Budget Committee and U.S. House Ways and Means Committee, 1990 -2000
Now in his sixth year in office, President Obama has made it clear he is not interested in serious reform of the major spending programs that are causing, and will continue to cause in the future, so much fiscal distress for the federal government. He wants to retain the current welfare state as it is, and in fact expand it with the new spending enacted in Obamacare.
Obamacare—or at least the version of it that the president and his advisers currently think they can get away with putting into place—has been upending arrangements and reshuffling the deck in the health system since the beginning of the year.
The Medicare Trustees issued their annual report on the program's long-term financing last month, and their findings were greeted by the Obama administration as evidence that the Affordable Care Act is working. This is nonsense.
The Obama administration suffered two stinging defeats at the Supreme Court this summer related to the so-called “HHS mandate” — the rule that requires employers to include free contraceptives, sterilization services, and products that can induce early-pregnancy abortions in their health plan offerings to workers.