Big promises. Big problems. The Affordable Care Act's rocky rollout has exposed deep fault lines in American health care that go beyond malfunctioning website code. From basic questions of coverage to complex federal court cases, many aspects of the sweeping reform remain unsettled. What's gone wrong? Can it be fixed? And where do we go from here? AEI scholars are following the latest developments, offering candid analysis and original research.
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Would it be economically and ethically feasible to have employers sponsor health insurance for a mixed, high-risk population? My argument is that accounting for deadweight losses tips the scales back in favor of ESI vs. Medicaid.
Earlier this week, I was thinking of writing a column about the lying and duplicity of Obamacare backers who argued that the difference between provisions providing subsidies in states with state-run health exchanges and providing no subsidies in states with federal exchanges resulted from inadvertence or a typographical error.
The Miller-Sanders bill addresses the immediate crisis, but underlying structural defects must be corrected if we are to avoid more problems again soon.
Patient-Centered Outcomes Research Institute (PCORI) never had the resources to fund clinical trials that would create change, and it never had the resources to make grants sizeable enough to perform these trials. PCORI is left with two options, it can either do research on the cheap, or avoid tough medical questions. PCORI has chosen to do both.
Obamacare, the program, has been operating in violation of Obamacare, the law. That's what the U.S. Court of Appeals in Washington ruled this morning: The Affordable Care Act authorizes federal authorities to offer tax credits to defray the cost of health insurance bought on exchanges -- but only if those exchanges were established by state governments.