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Begin New Search Political Geography America Content Type Working Paper Publishing Institution The Cato Institute

11. Halfway to Where? Answering the Key Questions of Health Care Reform

Author:
Michael Tanner
Publication Date:
09-2009
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Although neither the House nor the Senate passed a health care bill by President Obama's August deadline, various pieces of legislation have made it through committee, and they provide a concrete basis for analyzing what the proposed health care reform would and would not do. Looking at the various bills that are moving on Capitol Hill, we can determine the following: Contrary to the Obama administration's repeated assurances, millions of Americans who are happy with their current health insurance will not be able to keep it. As many as 89.5 million people may be dumped into a government-run plan. Some Americans may find themselves forced into a new insurance plan that no longer includes their current doctor. Americans will pay more than $820 billion in additional taxes over the next 10 years, and could see their insurance premiums rise as much as 95 percent. The current health care bills will increase the budget deficit by at least $239 billion over the next 10 years, and far more in the years beyond that. If the new health care entitlement were subject to the same 75-year actuarial standards as Social Security or Medicare, its unfunded liabilities would exceed $9.2 trillion. While the bills contain no direct provisions for rationing care, they nonetheless increase the likelihood of government rationing and interference with how doctors practice medicine. Contrary to assertions of some opponents, the bills contain no provision for euthanasia or mandatory end-of-life counseling. The bills' provisions on abortion coverage are far murkier.
Topic:
Government, Health, Human Welfare, and Markets
Political Geography:
United States and America

12. Bending the Productivity Curve: Why America Leads the World in Medical Innovation

Author:
Glen Whitman and Raymond Raad
Publication Date:
11-2009
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
The health care issues commonly considered most important today — controlling costs and covering the uninsured — arguably should be regarded as secondary to innovation, inasmuch as a medical treatment must first be invented before its costs can be reduced and its use extended to everyone. To date, however, none of the most influential international comparisons have examined the contributions of various countries to the many advances that have improved the productivity of medicine over time. We hope this paper can help fill that void.
Topic:
Health, Human Welfare, and Markets
Political Geography:
America

13. The Myth of the Compact City: Why Compact Development Is Not the Way to Reduce Carbon Dioxide Emissions

Author:
Randal O'Toole
Publication Date:
11-2009
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Proponents of compact development argue that rebuilding American urban areas to higher densities is vital for reducing greenhouse gas emissions. Compact city policies call for reducing driving by housing a higher percentage of people in multi-family and mixed-use developments, reducing the average lot sizes of single-family homes, redesigning streets and neighborhoods to be more pedestrian friendly, concentrating jobs in selected areas, and spending more on mass transit and less on highways.
Topic:
Energy Policy and Governance
Political Geography:
United States and America

14. Parting with Illusions: Developing a Realistic Approach to Relations with Russia

Author:
Nikolas Gvosdev
Publication Date:
02-2008
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
A review of America's post-Soviet strategy toward Russia is long overdue. The illusions that once guided policy are now at an end. What is needed is a dispassionate approach to Russia, wherein Americans would neither magnify nor excuse the virtues and vices of the Russian Federation but would accept the following realities: Russia is unlikely to become integrated into the Euro-Atlantic community and is unwilling to adjust its foreign policy priorities accordingly; There is broad-based support within Russia for the direction in which Vladimir Putin has taken the country; Russia has undergone a genuine—if limited— recovery from the collapse of the 1990s; Washington lacks sufficient leverage to compel Russian acquiescence to its policy preferences; and On a number of critical foreign policy issues, there is no clear community of interests that allows for concepts of "selective partnership" to be effective.
Topic:
International Relations and Diplomacy
Political Geography:
Russia, United States, America, Europe, Asia, and Soviet Union

15. Suicide Terrorism and Democracy: What We've Learned Since 9/11

Author:
Robert A. Pape
Publication Date:
11-2006
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Over the past two decades, terrorist organizations have increasingly relied on suicide attacks to achieve political objectives. The specific goal sought in almost all suicide terrorist campaigns in modern history is the same: to compel a democratic state to withdraw combat forces from territory prized by the terrorists. This holds true for al-Qaeda, the terrorist organization of greatest concern to most Americans. Al-Qaeda's efforts to mobilize people to kill Americans are driven principally by a simple strategic goal: to drive the United States and its Western allies from the Arabian Peninsula and other Muslim countries.
Topic:
International Relations, Security, and Terrorism
Political Geography:
United States, America, Arabia, and Arabian Peninsula

16. Iran's Nuclear Program: America's Policy Options

Author:
Ted Galen Carpenter
Publication Date:
09-2006
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Although it is possible that negotiations between the leading powers in the international community and Iran may produce a settlement to the vexing issue of Iran's nuclear program, it is more likely that those negotiations will fail. If that happens, U.S. policymakers face a set of highly imperfect options.
Topic:
International Relations, Security, and Nuclear Weapons
Political Geography:
United States, America, Iran, and Middle East

17. CATO Institute: Aging America's Achilles' Heel: Medicaid Long-Term Care

Author:
Stephen A. Moses
Publication Date:
09-2005
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Seventy-seven million aging baby boomers will sink America's retirement security system if we don't take action soon. A few years ago, the problem went unrecognized by most Americans. Today, the prospect of a fiscal crisis has forced policymakers to focus on solutions.
Topic:
Economics, Government, and Human Welfare
Political Geography:
United States and America

18. CATO Institute: Uncompetitive Elections and the American Political System

Author:
Dennis Polhill and Patrick Basham
Publication Date:
06-2005
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
American representative government suffers from the handicap of a largely uncompetitive political system. American politics has fewer and fewer competitive elections. In arguing that political competition matters a great deal, this paper traces the increasing trend toward uncompetitiveness and details the role and nature of incumbency advantage in fostering an uncompetitive political system.
Topic:
Demographics, Political Economy, and Politics
Political Geography:
United States and America

19. CATO Institute: Treating Doctors as Drug Dealers: The DEA's War on Prescription Painkillers

Author:
Ronald T. Libby
Publication Date:
06-2005
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
The medical field of treating chronic pain is still in its infancy. It was only in the late 1980s that leading physicians trained in treating the chronic pain of terminally ill cancer patients began to recommend that the "opioid therapy" (treatment involving narcotics related to opium) used on their patients also be used for patients suffering from nonterminal conditions. The new therapies proved successful, and prescription pain medications saw a huge leap in sales throughout the 1990s. But opioid therapy has always been controversial. The habit-forming nature of some prescription pain medications made many physicians, medical boards, and law enforcement officials wary of their use in treating acute pain in nonterminal patients. Consequently, many physicians and pain specialists have shied away from opioid treatment, causing millions of Americans to suffer from chronic pain even as therapies were available to treat it.
Topic:
Crime, Human Welfare, and Politics
Political Geography:
United States and America

20. Three Myths about Voter Turnout in the United States

Author:
John Samples
Publication Date:
09-2004
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Critics of American politics and elections often focus on low voter turnout in the United States. They argue that voter turnout is steadily declining largely because of voter cynicism caused by big money campaigns and negative political advertising. Voter turnout is lower than it was in the 1960s, but almost the entire decline happened between 1968 and 1974. Sophisticated and detailed studies of both public trust in government and the consequences of political advertising show that neither factor has a negative effect on voter turnout.
Topic:
Government, Human Rights, and Politics
Political Geography:
United States and America