Social Insurance

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All Social Insurance Commentary

The best cancer care isn’t always the most expensive

TCF fellow Harold Pollack analyzes for Wonkblog the Institute of Medicine's new report, "Delivering high-quality cancer care: charting a new course for a system in crisis." The IOM's recommendations, Pollack writes, "are so obvious and yet would be so difficult to execute in our high-tech but unwieldy, costly and fragmented health-care delivery system."

"The IOM  makes plain that our cancer care system is particularly poorly organized to properly care for people with advanced cancers."

How to get help if your state isn’t expanding Medicaid

TCF fellow Harold Pollack quoted in The Reporter, a local Pennsylvania news outlet, on the problems people will face if they are ineligible for Medicaid and cannot afford subsidies. “This is a perverse situation where people may have to break rules to get health care coverage that the law intended to provide them,” Pollack says in reference to the possibility that applicants will overestimate their incomes. 

Keep the gummint out of my Obamacare!

TCF fellow Suzanne Mettler cited in Washington Monthly for her research on citizens' misunderstanding of legislative accomplishments. 

"[A]s Cornell political scientist Suzanne Mettler has found," Kathleen Geier writes, "many recipients of government largesse claim that they have never used a government program. Among the programs that beneficiaries deny receiving are the home mortgage interest deduction, student loans, Social Security, veterans’ benefits, unemployment benefits, and more."

It’s Not the Age Bands, It’s the Medical Underwriting

TCF fellow Harold Pollack for Washington Monthly on the health reform proposal offered last week by health policy experts at the American Enterprise Institute. "The AEI authors," Pollack writes, "don’t say much about the legal, regulatory, and competitive realities of how an overtly risk-rated insurance system would actually function." 

85 million Americans lack dental coverage. Fixing that requires more than just money.

TCF fellow Harold Pollack for WonkBlog at The Washington Post on the national problem of poor access to dental care. In response to the National Bureau of Economic Research paper “The effect of Medicaid payment rates on access to dental care among children,” Pollack observes that since "dentists’ willingness to participate in Medicaid isn’t very sensitive to reimbursement rates, moving Medicaid rates closer to parity with private providers would be somewhat costly, yet would not greatly increase children’s use of dental services."

The Troubling Rise of Freestanding ERs

Policymakers involved in health reform know that treating non-emergencies at ERs is extremely wasteful. Then why has there been such explosive, recent growth in freestanding ERs?

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Social Insurance

Social Insurance

Compared to other advanced nations, America’s retirement security and health care systems offer weaker protections against risks we all face. The Century Foundation’s work focuses on ideas for strengthening Social Security, pensions, and health care – including steps for building on the Affordable Care Act.

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