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Is Medicaid a Fiscal Problem, a Federalism Problem, a Policy Problem, or a Fraud Problem?

Is Medicaid a Fiscal Problem, a Federalism Problem, a Policy Problem, or a Fraud Problem?

by Dan Mitchell | May 25, 2026 | Blogs, Government Spending, Health Care

As a fiscal policy wonk, my usual concern about Medicaid (the government health problem for low-income people) is that it is a huge – and rapidly increasing – fiscal burden. As captured by this chart. But sometimes I get agitated not by...
The High Cost of “Free” Health Care

The High Cost of “Free” Health Care

by Dan Mitchell | May 19, 2026 | Blogs, Health Care, States

I unveiled my 13th Theorem of Government about 10 years ago to explain that the supposed popularity of government goodies is a mirage. Once people find out that they would have to surrender more of their income, they suddenly morph into libertarians....
America Does Not Have a Free Market Health Care System, Part II

America Does Not Have a Free Market Health Care System, Part II

by Dan Mitchell | Nov 29, 2025 | Blogs, Economics, Health Care, Welfare and Entitlements

Way back in 2009, I cited a very good article in The American Spectator in hopes of getting people to understand that the United States does not have a capitalist health care system (and I’ve...
Obamacare, the Second Theorem of Government, Short-Run Political Consequences, and Long-Run Fiscal Consequences

Obamacare, the Second Theorem of Government, Short-Run Political Consequences, and Long-Run Fiscal Consequences

by Dan Mitchell | Oct 13, 2025 | Blogs, Health Care

Back in 2017, I unveiled the 2nd Theorem of government, which observed that it is much easier to stop a new program than to repeal an existing program. The example I used was Obamacare. Republicans had spent years arguing that the law was bad fiscal...
The Healthcare Exclusion Is (Still) the Tax Code’s Most Harmful Loophole

The Healthcare Exclusion Is (Still) the Tax Code’s Most Harmful Loophole

by Dan Mitchell | Jun 4, 2025 | Blogs, Economics, Health Care, Taxation

I wrote back in 2016 that the health care exclusion was the worst loophole in America’s monstrosity of a tax code. Today’s column will explain why that is still true and we’ll begin with this short explainer video from the folks at Kite &...
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