Americans pay far higher prices for prescription drugs than do people in other wealthy countries. The reason that other countries spend so much less on drugs is that their governments negotiate prices with the pharmaceutical industry. The United States government could adopt the same approach...

When Congress was debating the Medicare drug benefit in 2003, there were many who advocated that Medicare provide the benefit as part of the traditional hospital insurance program. This was expected to save money both due to lower administrative costs and also as result of Medicare’s ability...

This paper uses data from the Current Population Surveys for 1980 through 2011 to review trends in health-insurance coverage rates for low-wage workers (defined as workers in the bottom fifth of the wage distribution in each survey year). In 2010, over 38 percent of low-wage workers lacked...

Opponents of the ACA have labeled the health care bill a jobs killer. It seems implausible that the bill could be expected to have much impact on employment except among the relatively small number of firms that are near the 50-worker cutoff. However the bill does provide a clear incentive to...

Disability is both a fundamental cause and consequence of income poverty. The income-poverty rate for persons with disabilities is between two to three times the rate for persons without disabilities. Yet, contemporary policy debate and research about income poverty in the United States is...

Leading health care reform proposals all require individuals to obtain health care coverage, but differ in how they would require employers to share in the costs of coverage for their employees. This report reviews the employer responsibility requirements in the leading proposals—often...

Leaders in both the House and the Senate have committed to "shared responsibility" as a basic principle of health care reform, meaning that the costs of health care coverage are shared by individuals, businesses, and the public sector. However, as this issue brief documents, the Senate version...

Two of the three leading health care reform proposals being considered by Congress—the House “Tri-Committee” health care reform legislation and the Senate Health, Education, Labor, and Pensions (HELP) Committee’s reform legislation—include sensibly designed “play-or-pay” provisions...

This paper continues a debate over the extent of economic and social progress in Venezuela that began with an article in the March/April 2008 issue of Foreign Affairs. This article argued that “a close look at the evidence reveals just how much Chávez's 'revolution' has hurt Venezuela's...

This paper looks at allegations against the government of Venezuela in Foreign Affairs' recently published article, "An Empty Revolution: The Unfulfilled Promises of Hugo Chávez" (March/April 2008), in light of available data. It shows that some of the allegations are altogether wrong, and...