Health Care - Commentary
Beware Medicaid Expansion, Even If It Is Billed as Reform Print E-mail
By Michael Rathbone   
Friday, May 08, 2015

SB 419 is promoted as a bill that will transform Missouri’s Medicaid program. In reality it is an expansion of the program cloaked in “reform.”

Expansion Is Wrong Move For Medicaid Print E-mail
By Patrick Ishmael   
Monday, March 31, 2014

Missouri should work to make Medicaid better, not double down on a broken status quo by expanding the program.

Bad Data, Bad Tech and No Expansion Lead to Fall in Missouri Medicaid Enrollment Print E-mail
By Patrick Ishmael   
Monday, March 24, 2014
After President Barack Obama signed the Patient Protection and Affordable Care Act into law, the Centers for Medicare and Medicaid Services estimated that nearly 12 million people would be added to the country’s Medicaid rolls by 2014. At the time the expansion was mandatory, and the expectation was that most states would fall into line and enroll people. Hundreds of thousands were expected to enroll in Missouri alone.

Read the rest of this commentary by Patrick Ishmael in the March 7 edition of Forbes.

Patrick Ishmael is a policy analyst at the Show-Me Institute, which promotes market solutions for Missouri public policy.

Nursing Better Health Care In Missouri Print E-mail
By Caitlin Hartsell   
Monday, December 23, 2013

Missouri can address its shortage of health care providers in rural areas if it loosens restrictions on certified nurse practitioners.

Obamacare: Less Choice, Higher Taxes, Slower Economic Growth Print E-mail
By Rik W. Hafer   
Monday, September 30, 2013

Obamacare will disrupt markets for medical care, forcing individuals to choose hospitals and doctors that they would not have chosen otherwise. Obamacare also will create substantial negative incentives for many individuals to work.

Jay Nixon Makes The Wrong Call On Medicaid Print E-mail
By Andrew B. Wilson   
Thursday, February 07, 2013

Lawmakers in Missouri and other states are being offered billions of dollars of “free money” from the federal government to support a major expansion in their states’ Medicaid programs. It is an offer they can and must refuse.

It Is Time to Reform Medicaid, Not Expand It Print E-mail
By Andrew B. Wilson   
Tuesday, December 18, 2012

Should Missouri and other states accept an offer of “free money” from Uncle Sam to expand the Medicaid program in their states? Instead of acting as enablers of fiscal profligacy, Missouri and other states should say “no.”

Should Missouri Participate In A Bernie Madoff-Type Scheme? Print E-mail
By Andrew B. Wilson   
Wednesday, July 18, 2012

The federal government wants Missouri and other states to participate in a major expansion of the Medicaid program as part of the new health care law. Missouri can and should say “No.”

Health Care Law Violates Sound Public Policy In 10 Ways Print E-mail
By Andrew B. Wilson   
Tuesday, April 10, 2012

The health care law should be struck down on practical grounds even more than on legal grounds. It violates multiple principles of sound policy-making. It is truly unaffordable.

Kudos to Missouri Senate for Blocking Health Exchange Print E-mail
By Patrick Ishmael, Christie Herrera   
Monday, March 19, 2012

The Missouri Senate deserves praise for approving a measure that prohibits Missouri Gov. Jay Nixon from creating a health insurance exchange for the state without legislative or voter approval.

Missouri: A State of Uncertainty on Health Care Regulation Print E-mail
By Christine Harbin   
Thursday, March 03, 2011

When the government enacts policies that extend its authority to new areas, such as the impending health care law, it creates what economists call “regime uncertainty.” Missouri is in a state of limbo. Regardless of whether a higher court overturns the law in the future, businesses, lawmakers, and individuals need to know how to act in the present.

Missouri's Attorney General Should Join Health Care Reform Lawsuit Print E-mail
By Christine Harbin   
Tuesday, January 11, 2011

Missouri's attorney general has the opportunity to represent the state's resounding opposition to the federal health care reform law adopted by Congress earlier this year. By signing on to a Florida lawsuit challenging the individual insurance mandate, the attorney general can help signal that Missourians are capable of making their own health insurance decisions.

An Open Letter to Missouri Attorney General Chris Koster Print E-mail
By Brenda Talent   
Thursday, January 06, 2011

When Missouri voters passed Proposition C last August with more than 71 percent of the vote, they signaled strong opposition to the individual mandate included in the recently passed federal health care reform law. In view of this expression of the popular will, and the implications of this expansion of federal power, Show-Me Institute Executive Director Brenda Talent urges Missouri Attorney General Chris Koster to join the states that have filed a constitutional challenge to the law in an effort to protect the liberty of their citizens.

Assessing Legal Prospects for Lawsuit Over Federal Health Care Reform Print E-mail
By Dave Roland   
Thursday, July 15, 2010

A lawsuit filed by Missouri’s lieutenant governor against the recently passed federal health care reform may not proceed as intended. A court may agree to hear some of the counts asserted in this suit, but it seems likely that the court will ultimately dismiss at least half of the claims (and probably three quarters of them) as lacking either standing or ripeness. 

Well-Intentioned Autism Bill Also Carries Negative Consequences Print E-mail
By Caitlin Hartsell   
Friday, June 11, 2010

Well-intentioned supporters of the new autism mandate hope to help Missouri families with autistic children. Health care mandates also carry unintended consequences, raising the cost of insurance premiums for other Missourians. Small businesses are particularly cost-sensitive, and some marginal number of them may end up being forced to cut coverage or reduce hiring.

Health Care Reform Another Step in Decline of Our Economic Freedom Print E-mail
By Rik W. Hafer   
Wednesday, April 07, 2010

This article first appeared in the St. Louis Beacon.

The passage and signing of the president's massive health care reform legislation are the latest chapters in the socialization of the economy. No, this will not be a "tea party" rant about how such a change spells doom for our culture as we know it. But there are growing signs that our leftward lurch to a world of a bigger, more activist government may not in our best long-term interests.

Filling the Cavities in Missouri’s Dental Care Print E-mail
By Caitlin Hartsell   
Monday, February 01, 2010

Missouri’s oral health is among the worst in the nation, partly because of the state’s shortage of dentists. Programs in Alaska, England, Australia, and Canada have had success with dental therapists, who can provide a wide range of dental services at a low cost. Missouri could also benefit from dental therapists if the state’s professional licensing law did not stand in the way.

Individual Health Insurance Mandate Would Violate Constitutional Liberties Print E-mail
By Dave Roland   
Wednesday, December 23, 2009

The individual health insurance mandate being considered in Congress would violate individual liberties secured by the U.S. Constitution.  A proposed amendment to the Missouri Constitution in response to the proposed mandate might be a useful step toward protecting individual freedoms.

Small Businesses Can’t Drive Job Growth if They’re Saddled With Higher Taxes Print E-mail
By Susan K. Feigenbaum   
Tuesday, December 08, 2009

Federal attention has recently focused on small businesses in an effort to reduce soaring unemployment. The president has pledged help them grow and expand hiring, but in order to promote the true survival and growth of small businesses, the first step to take would be to see to it that they aren’t saddled with higher tax burdens as a result of health care reform.

Will Future Health Care Look Like Canada's or Britain's? Print E-mail
By Susan K. Feigenbaum, Rik W. Hafer   
Tuesday, November 17, 2009

Commentators in the current health care debate often look to Canada’s and Britain’s public health care systems for hints as to what our future may resemble. The systems in each of those countries feature significant differences, however, both philosophically and operationally, that provide unique cautionary examples for the future of U.S. legislation.

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