NCPA - National Center for Policy Analysis

Daily Policy Digest

Terrorism in Latin America (Part One): The Infiltration of Islamic Extremists

The threat from Islamic extremists in Latin America remains an overlooked aspect of U.S. national security strategy. And the threat is worsening -- not "waning" as the Obama administration claimed about Iran in 2013, writes NCPA Senior Fellow David Grantham...

Third-Party Payment is the Root Cause of Health System Dysfunction

It's a fundamental economic truth that too much health insurance actually increases costs. That is why other types of insurance—think of car accidents or warehouse fires -- only cover catastrophic costs. The full cost impact of our over reliance on health insurance, provided by both government and private insurers, is staggering, writes NCPA Senior Fellow John R. Graham...

California Single-Payer Bill Looks Backward, Not Forward to New Era of Patient Choice

The California state legislature is considering yet another bill to impose a so-called single-payer, government monopoly, health care system. This has long been an obsession of the militant California Nurses' Union, because a health system under total government control would suit the narrow interests of union leaders. They would accrue power similar to that wielded by other public-sector unions and might even be able to negotiate contracts similar to those enjoyed by state and local employees, which are driving public finances across the state into the ditch, writes NCPA Senior Fellow John R. Graham...

Don't Gut the Texas Workers' Comp System

For decades, researchers have found a myriad of disincentive effects associated with state workers' comp insurance systems that keep workers off the job for too long and on an eventual path to dependency on the Social Security Disability Insurance (SSDI) system, writes NCPA Senior Fellow Pamela Villarreal...

The Logic-Defying CBO Obamacare Replacement Score Breaks Its Own Rules, among Other Problems

Dr. Tom Price, the U.S. Secretary of Health & Human Services, has said the Congressional Budget Office's recent "score" of the Republican Obamacare replacement bill defies logic. Even worse, it defies the very rules which govern the CBO, writes NCPA Senior Fellow John R. Graham...

Veterans Health Administration Realizes it Should Buy, Not Build, Software

For decades, the Veterans Health Administration has made and maintained its owns Electronic Health Record (EHR). It makes as little sense as a health system manufacturing its own MRI machines. Finally, the new VA Secretary has confirmed he will throw in the towel on the VA's home-brew system, VISTA, and buy a commercial EHR, writes NCPA Senior Fellow John R. Graham...

The "Troubles" with Pharmacy Benefit Managers

If markets are competitive, there is little need to regulate PBM practices, writes NCPA Senior Fellow Thomas Hemphill in Cato's Regulation Magazine...

Great Moments in Government Waste, Fraud and Abuse

Donald Trump’s proposed "skinny budget" was released last week. Of course, the outrage and howls of indignation have begun. Already, there are Twitter hashtags referencing cuts to programs for the poor (#Mealsonwheels is trending) and "hair on fire" claims that people and puppies will die because of EPA cuts, education cuts, public television cuts, and of course, the expansion of defense spending, writes NCPA Senior Fellow Pamela Villarreal...

The Economic Effects of Repealing the Affordable Care Act

The Congressional Budget Office (CBO) recently analyzed the effect of repealing and replacing the Affordable Care Act on federal revenues and the uninsured. There was much hype about their conclusions that 24 million people would be added to the ranks of the uninsured (although about 14 million of those would choose not to buy insurance because they would no longer be forced to). Also, federal deficits would fall by $337 billion over 10 years. However, the CBO did not measure the economic effects of repealing some of the most burdensome aspects of Obamacare, which would create hundreds of thousands of jobs and increase Americans' personal incomes, according to an NCPA analysis by Dr. David Tuerck, President of Beacon Hill Institute and Paul Bachman, Director of Research...

Health Insurance A Cause of Past-Due Debt?

Although health insurance is supposed to protect us from medical debt, it often does not. Among insured people, 26.6 percent had past-due medical debt in 2012, versus 22.8 percent in 2015. However, among uninsured people it declined more: 39.8 percent in 2012, versus 30.5 percent in 2015. What to make of this? asks NCPA Senior Fellow John R. Graham...


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