Studies

NCPA studies generally break new ground on policy issues. A study seeks to cast new light on an issue and to stimulate policy-makers and others to think of new, innovative solutions to the problems associated with the issue. Studies may combine several elements of analysis, including original research, reviews of academic literature, creative approaches for solving public policy problems, and economic modeling.

Does It Pay to Work?

What is the economic reward for working? The answer is surprisingly complicated. Going to work, earning a living, and spending one's earnings over time raises a variety of taxes and government benefit…

Reforming Medicaid

Medicaid is enormously expensive. For the second year in a row, spending on Medicaid (for the poor) will exceed spending on Medicare (for the elderly).

Medicare Reform and Prescription Drugs: Ten Principles

In an election-year rush to satisfy impatient voters, politicians of both parties are endorsing ill-considered schemes to add a prescription drug benefit to Medicare. While the problems with the progr…

Better Off Welfare

Welfare rolls nationwide have fallen by more than 50 percent since welfare reform was enacted in 1996. The goal of reform was not simply to reduce the number of welfare cases, but to move families on…

Medical Savings Accounts and Prescription Drugs: Evidence from South Africa

Unlike the United States experience, MSAs in South Africa developed in a relatively free health insurance marketplace. As a result, employers and insurers have been able to experiment and innovate to…

Social Security Reform Around the World: Lessons from Other Countries

Social Security reform is one of the most prominent domestic policy issues in the United States. The U.S. is not alone in facing the daunting challenges posed by its retirement security program.

The Economic Cost of the Social Security Payroll Tax

The payroll tax that funds Social Security, Medicare and Disability Insurance, called FICA, is already the largest tax most American families pay. In the future, it will claim an even greater share of…

Gaining Ground: Women, Welfare Reform and Work

Contrary to the expectations of many welfare reform critics, most of the women heading these families went to work. In fact, the  proportion of single mothers who work has increased dramatically since…