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For all of the quality care it delivers, the U.S. health care system is one of the most dysfunctional sectors of the U.S. economy.  The government spends nearly 50 cents of every dollar spent on health care, most consumers are almost entirely insulated from the cost of their decisions, and employers decide what kind of health insurance their employees get.

But while the U.S. health care system begs for reform, the Patient Protection and Affordable Care Act only exacerbates all of the current problems, promising to devolve into a price-controlled system rationed and micromanaged by bureaucrats.

IPI believes there are much better options: reform the tax treatment of health insurance; remove the state and federal mandates and regulations that make coverage more expensive; pass medical liability reform; and promote policies that create value-conscious shoppers in the health care marketplace.

January 5, 2018

Association Health Plan Proposal: Experts Wary of Weak Consumer Protections, Oversight Issues

Merrill Matthews, Ph.D., IPI resident scholar, praised the new proposed rule, noting that it allows small businesses to do what large employers have long been able to: self-insure. “Self-insured employers have been able to avoid many of the state and federal mandates imposed on the small group and individual markets, which helped employers keep down the cost of coverage,” he said.

January 4, 2018

Matthews: Labor Department Rulemaking a Welcome Setback to Obamacare

The Department of Labor’s proposed rulemaking released today would help clear the way for employers to band together in associations and self-insure, and is a good first step in the ongoing but challenging effort to provide employers and employees more flexibility under Obamacare.

December 12, 2017

We May All Be Exempt from Obamacare's Mandate--Sooner or Later

Obamacare drafters created an escape hatch, which they never thought they'd see it being used: the law's definition of "affordable" coverage. It allows people to escape the mandate if insurance is too expensive—which it increasingly is.

December 5, 2017

Kids Get Health Coverage While Taxpayers Get the Shaft

The “crowd-out effect” of CHIP would be an important lesson to remember as Congress tackles welfare reform next year.

December 4, 2017

Alarming Medicare Part B Overhaul Plan Reduces Drug Choice, Access

In a new publication, “Budgets First, Patients Last: MedPAC's Plan to Undermine Medicare Part B's Drug Benefit,” Matthews says MedPAC’s proposed changes to Medicare Part B’s prescription drug reimbursement plan would put patients' lives at risk by reducing access to care, especially for the sickest and most vulnerable patients — a substantial segment of Medicare’s Part B drug program.

December 1, 2017

Budgets First, Patients Last

The Medicare Part B prescription drug program works reasonably well, providing some of the sickest patients with access to the newest and most innovative drugs. Now MedPAC wants to change it, and not for the better.

December 1, 2017

End the Individual Mandate

Ending the mandate would allow people in the individual market who do not receive the taxpayer subsidies to find an affordable policy.

November 27, 2017

GOP Waffling on Most Egregious Tax Increase on Americans - Obamacare's Individual Mandate

“And if both the premium and the penalty are considered a tax, the mandate becomes the largest tax increase in U.S. history. And that doesn't include all of the other taxes imposed by the legislation," reported Merrill Matthews in Forbes.

November 16, 2017

Giovanetti: Passage of Tax Bill Major Step Towards "Right Kind" of Tax Reform

IPI commends the U.S. House of Representatives for passing sweeping legislation towards significant tax reform that would benefit the U.S. economy and the middle class.

November 14, 2017

Media Advisory: Matthews Available to Discuss Senate Inclusion of Individual Mandate Repeal in Tax Bill

Reports confirm the Senate has the votes to include a repeal of Obamacare’s individual mandate in its tax bill, which is not only a good step for health insurance reform, but also helps pay for tax reform.

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