NCPA Commentaries by John C Goodman
Dr. John C. Goodman, President and founder of the NCPA and Kellye Wright Fellow, is known as the father of Health Savings Accounts and was dubbed by National Journal as "a winner of the devolution derby." He is one of the nation's leading health economists and health policy experts. Dr. Goodman regularly briefs members of Congress on these issues and is the author of nine books.
Mar 01, 2009
I'll start with the bad news: When we get through the economic time that we're in right now, we're going to be confronted with an even bigger problem. The first of the Baby Boomers started signing up for early retirement under Social Security last year. Two years from now they will start signing up for Medicare. All told, 78 million people are going to stop working, stop paying taxes, stop paying into retirement programs, and start drawing benefits. The problem is, neither Social Security nor Medicare is ready for them.
Jan 26, 2009
THE most important domestic policy crisis this country faces was not discussed by either candidate in the 2008 presidential election. On the Democratic side, that is understandable. Democrats, after all, bear disproportionate responsibility for creating the problem. But the silence on the Republican side is puzzling, especially since any solution must involve individual empowerment, personal choice, and free-market incentives--core values of the GOP.
Sep 15, 2008
What should we do about the fact that as many as 46 million Americans at any one time lack health insurance? My colleagues and I at the National Center for Policy Analysis (NCPA) have been studying this problem for 25 years. Although no political leader has endorsed all of our suggestions, various NCPA proposals have been championed by Republicans and Democrats, liberals and conservatives.
Sep 02, 2008
Health care reform seems poised to take centre stage in the upcoming presidential election in the United States. Not surprisingly, American presidential hopefuls Barack bama and John Mc-Cain have proposed radically different approaches to health care eform. Of the two, it is McCain's proposal that would completely replace the current system with a fairer, more efficient one, providing a much better chance of insuring the uninsured and controlling health costs.
Jul 30, 2008
If you listen only to presidential campaign rhetoric, you might conclude that Hillary Clinton and Barack Obama proposed bold new changes for our health-care system, while John McCain is offering only small improvements. If so, you are in for a surprise. Most health-policy analysts believe that Mr. McCain is proposing the most fundamental health-care reform.
Jul 02, 2008
Typically, Medicaid enrollees face restricted treatment options and limited access to health care. At the same time, they are sheltered from health care costs because they pay nothing out of their own pockets when they receive care.
Jul 01, 2008
As of January of this year, U.S. employers can automatically enroll their employees in 401(k) plans with diversified portfolios- without fear of lawsuits and without certain regulatory burdens. Automatic enrollment should increase participation by about one-third, and diversification should produce larger and safer returns, although employees are able to opt out of both decisions. In the future, roughly one of every two 401(k) enrollees is likely to be so enrolled.
Jul 01, 2008
In a rational world, deductibles and copayments serve an economic purpose.
In the health insurance market, however, those principles are increasingly being turned upside down as a result of government interference and providers' attempts to cope with it.
Click to read more about the irrational world of health insurance.
Oct 16, 2007
America's health care system has three fundamental problems: cost, quality and access. Why do we have these problems? What do the Democratic presidential candidates propose to do about them?
Health care spending per capita is growing at twice the rate of growth of national income. If that trend continues, health care will crowd out every other form of consumption by the time today's college students retire. The reason for this dilemma is that patients are rarely forced to choose between health care and other uses of money. No one is ever asked to decide whether one more knee replacement or one more MRI scan is worth the money it costs. No one ever has to decide whether it is worthwhile to spend one-third of Medicare's budget on patients who are in the last year of life.
Sep 18, 2007
Thirty years ago Michael Dukakis campaigned for president with the boast, "I have insured everybody in Massachusetts." Of course he hadn't, and three decades later, everybody in Massachusetts is still not insured. Along the way there have been many other plans to create "universal coverage." They haven't worked either.