How Will State and Federal Actions Affect Individual Health Insurance Coverage for Middle-Income Americans?

The Affordable Care Act (ACA) has accomplished much that its drafters intended. There is considerable evidence of increased access to health care and reduced medical debt. But there is growing concern about affordability of health insurance coverage for middle-income working-age consumers — those whose household income exceeds 400 percent of the federal poverty level (about $100,000 for a […]

Share: Taking It to the Next Level: Using Innovative Strategies to Expand Options for Self-Direction

Just over 1 million people were enrolled in Medicaid-funded and Veteran-Directed Home- and Community-Based Services self-directed programs in 2016.  Evidence shows that self-direction is an effective way to provide long-term services and supports (LTSS).   Although enrollment increased by more than 40 percent since 2011, nationally, fewer than 27 out of every 1,000 people with any […]

Thomas Piketty and His Discontents, Apolitical Economy: Democracy and Dynasty

Inequality and its corrosion of the body and the soul of capitalist societies has been the hottest topic among respectable liberal economists and political analysts in the United States since the crisis of September 2008. To be sure, Left economists have been tracing the twin scourges of flatlined real wages and widening inequality since the […]