Brief Analyses

Restricted to two letter-size pages, a Brief Analysis summarizes some aspect or aspects of a public policy issue, presenting points for consideration in policy debates or responding to points that have been raised during these debates.

Managed Competition is Back

A few months ago, many on Capitol Hill were pronouncing the Clinton plan "dead." It was commonly assumed that mandatory alliances and other features of "managed competition" were also dead. But as we…

Managed Competition: Hazardous to Your Health

Managed competition is the central idea behind the Clinton administration's plan to reform the nation's health care system. It is also the main idea behind the four versions of the Clinton plan reflec…

Health Plans: Bonanza for the Poor, Costly for Middle Class

Four congressional committees have now produced versions of the Clinton administration's health care plan. Three of the bills would force all Americans and their employers to purchase a health insuran…

Medical Savings Accounts: The Momentum Builds

Medical Savings Accounts, also called Medical IRAs and Medisave Accounts, have more support in Congress than any other proposal to control health care costs.

Community Rating A Cure Worse Than the Disease

Under "community rating" health insurers are required to charge the same premium to every policyholder, regardless of their expected health care costs. Under "modified" community rating, premiums may…

Two Cheers for Senator Dole

Senator Bob Dole (R-KS) has just proposed a health care reform plan. The Dole plan builds on key reform ideas developed by the National Center for Policy Analysis. However, some benefits of the reform…

Risk Pools: A Better Solution

One problem with our health care system is that many sick people who lose their health insurance find it impossible to purchase new coverage. Insurers may classify them as uninsurable, offer them a po…

Patient power vs. Bureaucracy Power

Relatively simple reforms would go a long way toward solving our most pressing health care problems without creating new ones. Unfortunately, the underlying debate is not about how to solve our health…