Facts, Thoughts, and Commentary

Health Care

Morning/Afternoon Papers/Radio

Morning/Afternoon Papers/Radio

Just a few notes from the broadsheets (sorry, you young whippersnappers, but I still like to read the actual paper) to bring to your attention. Much of this sounded about right to me, as per where cliff negotiations are headed, and while it may sound optimistic to some readers, I still think the odds are [...]


A Few More Thoughts on the Bad Idea of Raising the Medicare Eligibility Age

Many good comments on this post as to why increasing the Medicare eligibility age is a bad idea that shouldn’t be on the fiscal cliff negotiating table (which is not the same thing as saying other potential Medicare savings shouldn’t be on the table). Remember to read this CBPP piece on the issue, and listen to [...]


Medicare and the Cliff Negotiations

Update: My colleague and knowledge font re all things social insurance, Paul Van de Water, reminds me of a piece he wrote about this issue a few weeks back.  Along with many of the points below, he adds that “state Medicaid costs would rise, as some of the people who lost Medicare coverage would shift [...]


Progressives and the Cliff

Progressives and the Cliff

[Just did a spot on this with Chris Matthews and Joan Walsh--both of whom I thought made a lot of sense on the issue..] I’m glad that fiscal cliff negotiations have produced some mellifluous sounds from hardliners, as in Rep Boehner and Sen McConnell recognizing the need for new revenues in the deal.  But really, [...]


Four Deficits

Here’s what I hope is a simple and straightforward way to think about what’s at stake in this election and the differences between the tickets. We face not one, but four deficits: –budget deficit –jobs deficit –investment deficit –security deficit Budget Deficit: That the current budget path is unsustainable is well understood by most voters.  [...]


Makers, Takers, and YOYOs

Well, it took a while, and an awfully circuitous route, but we’re finally getting back to the national debate we need to have, the one about the role of government. Unfortunately, it’s taken a terribly misguided, albeit revealing turn towards “makers versus takers.” What’s misguided about it?  It misses the dynamics of real lives in [...]


Policy Matters! Today’s Income, Poverty, and Insurance Coverage Data

Policy Matters! Today’s Income, Poverty, and Insurance Coverage Data

According to new Census Bureau data released today, poverty rates as officially measured did not rise as expected last year and more people were covered by health insurance.  Middle class incomes fell significantly, however, and inequality increased. Basically, the message here is policy matters.  Where policy addressed a market failure—rising shares of the uninsured; poor [...]


You’re on Your Own vs. We’re In This Together

In a speech that was as compelling as it was persuasive, President Clinton (“the hoarse whisperer to the middle class”—this AM’s WaPo) made a number of references to the difference between the two starkly different political philosophies: “you’re on your own,” and “we’re in this together.” These two different political philosophies came into stark focus [...]


Today’s Papers: Getting Capitalism Back on Track

Some compelling economics to read about in today’s newspapers, especially a sweeping review of a bunch of books on what’s gone wrong by Steve Pearlstein in the WaPo.  More on that in a moment. First, I found this piece on how to fix our fiscal policy to be a useful collection, with one big exception [...]


A Quick Visit Back to the Medicare Dust Up

I just wanted to be sure to highlight some very useful pieces on this from the last few days, all relating to numerous posts I’ve done of this debate. First, Henry Aaron has a very thorough amplification of this point I dinged the WaPo on the other day: the notion that changes to health care [...]


A Mess of a Screed

What do you do if you’re loaded for bear and they call off the hunt? I was just in the chair at MSNBC about to argue with Naill Ferguson about his anti-Obama screed in Newsweek but they had to cancel the hit. NF’s piece is such a mess of factual errors, contradictions, and misguided impressions [...]


Medicare (Dis-)Advantage

Medicare (Dis-)Advantage

One more quick dive into the weeds on the Medicare dust up and then I promise to get back to the real economy and jobs.   I’m not saying that these campaign debates re retiree health care are a distraction from what matters most to most people.  Jobs and paychecks are of course up there at [...]


More on the Medicare Dust-Up

UPDATE: Nice AP story out this AM on these very points.  Basically, what’s happening here is that the ACA Medicare cuts improve the efficiency and cut costs in the program solely on the delivery side (not on beneficiaries), thus extending the lifespan of the HI trust fund.  So, when Gov Romney says he won’t make those [...]


The (Counter) Attack of General Ezra and the Wonk Army

I’m swamped today–Diane Rehm Show at 10 on the Ryan Budget, Medicare, et al, and book talk later commenting on Jeff Faux’s very compelling new book: The Servant Economy. BUT…OMG. Ezra Klein and his Wonkbook team provide such a treasure trove of trenchant treats analyzing the campaigns’ dust  up over Medicare that OTE’ers will not [...]


The $700 Billion Smoke Screen

In posts about the Ryan pick, I’ve argued that if we in the commentariat and the media get this right, the American electorate could have a salutary debate on the role of government.  But, I stressed, that’s a big “if.” We particularly need an eagle-eyed media to cut through the inaccurate and misleading stances that [...]


Ryan’s Spending Cuts and the Sequester

Ryan's Spending Cuts and the Sequester

Don’t worry, OTE’ers, it’s not all Ryan all the time around here, though that is, as you’d expect, where DC is today. But this sentence, from an important CBPP publication from last week, caught my eye: …the cuts to non-defense discretionary funding under the Ryan budget would be three times deeper in 2014 than the [...]


A Paul Ryan Profile in the New Yorker

The New Yorker’s Ryan Lizza provides a profile of Rep Paul Ryan, with a rich discussion of his vision for limited government. It’s a good read, but it left me thinking about what it is that troubles me most about Rep Ryan, an earnest guy who’s come a long way and influenced a lot of [...]


Those (Us) Greedy Boomers

Those (Us) Greedy Boomers

In this AM’s NYT, Bill Keller goes after baby boomers for not getting behind entitlement reform.   As his many links confirm, this is a common argument and while I can’t speak to the anti-boomer part (I was born smack in the middle of the boom, so one must recuse oneself), the economics of this debate [...]


Government’s Role in Our Economy and Lives: Your Weekend Reading

I have a remarkable and timely document to share with you, but there’s a condition: you must agree to give it as close a read as you can over the weekend.  And if you happen to be a public official, then you must agree to read every word and report back on Monday. Agreed? OK, [...]


This Just In: It’s Good to Have Health Coverage

It’s always important to confirm or disprove our priors with high quality research, and in this light, the NYT’s coverage of a new study showing the positive impact of Medicaid coverage is worth reading.  The study looks mainly at mortality rates, but also health coverage, access to treatment, and general health outcomes, comparing outcomes in [...]


Scattershots from the Road

Scattershots from the Road

Quick road trip in progress so just a few scattered impressions from the hotel room, and pre-coffee so I can’t be held accountable. Econowatch: Yesterday’s retail sales numbers were a concern because there’s a negative trend there — see figure — over the last quarter (April, May, June) which corresponds to the slower growth in [...]


The Most Important Fiscal Chart You’ll See Today

The Most Important Fiscal Chart You’ll See Today

OK, there’s probably a few of you who don’t see any fiscal charts on a typical day.  I salute you. But here at OTE, we’re obsessed with a question David Wessel tackles in today’s WSJ: is the recent slowing of health care costs cyclical or structural?  Or, more likely, how much of each?  And does [...]


Medicaid Expansion Opt-Out: Researchers, Prepare Your Difference-in-Difference Models

I don’t have anything good to say about the opt-out provision that the SCOTUS added to the Medicaid expansion part of the health care law.  There’s lots of hypothesizing about which governors will opt out, despite the strong monetary incentives not too.  But you can’t figure this one out based on a rational balance sheet [...]


Health Care Reform Leftovers

Health Care Reform Leftovers

Lots of crazy stuff on the airwaves re the SCOTUS’s upholding of the ACA. The Inane “Is It a Tax?” Debate: R’s are viciously attacking the ruling because it introduces a new “tax” on people who don’t have coverage.  As I and many others have stressed, this tax is a free-rider penalty.  It is a [...]