John R. Graham Archive

John R. Graham is a Senior Fellow at The Independent Institute.
Full biography and recent publications

41 Percent of Obamacare Silver Plans Have ‘Small’ or ‘Extra Small’ Networks



I spent the weekend in Denver at the excellent Western Conservative Summit, where I spoke about health reform with Philip Klein of the Washington Examiner. Mr. Klein has written Overcoming Obamacare, in which he describes three schools of free-market reformers: The “reform school,” the “replace school,” and the “restart school.” (I belong to the...
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Health Spending as a Share of Personal Consumption Keeps Rising



Where is your money going? Increasingly, the answer is health care. This morning’s third estimate of first quarter Gross Domestic Product (GDP) was not as awful as previously estimated – a real decline of 0.2 percent, not 0.7 percent. The overall drop of $7 billion was driven by a decline in exports and nonresidential...
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CBO: Repealing ACA Would Grow U.S. Economy; Reduce Number of Insured by 10 Million



I have asked, and the Congressional Budget Office has answered. Well, not really. Although, I have been urging the CBO to do a comprehensive estimate of all the effects of the Affordable Care Act, effectively for the first time since 2012. It did so last week. The main takeaway is that “repealing the ACA...
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Obamacare’s Shrinking Revenues: Medical Device Excise Tax



The House of Representatives voted today to repeal Obamacare’s medical device excise tax, the 2.3 percent tax levied on medical devices sold in the United States. The tax is certainly harmful. Whether it deserves the highest priority in repealing Obamacare, we’ll leave to discuss another day. Although, repealing the medical device excise tax does...
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Pennsylvania, Delaware to Identify as State-Based Obamacare Exchanges



There seems to be a trend in the United States of people formerly identifiable with one set of easily recognized characteristics deciding that they “identify” as having another set of characteristics. This is also happening with Obamacare exchanges. The Supreme Court will soon announce its decision in King v. Burwell, resolving the question of...
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Render unto Caesar: Obama Preaches to Catholic Health Association



Last Tuesday, President Obama gave a speech on healthcare to the Catholic Health Association (CHA), which was celebrating its 100th anniversary. The president recycled his campaign speech, making many claims about the cost of care, medical bankruptcy, and uninsurance, all of which we have debunked countless times in this blog. He also asserted that...
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Health Jobs Double Growth in Jobs Report



Last Friday’s employment report was greeting as good news, with 280,000 jobs added in May. Health hiring doubled its April pace, adding 47,000 jobs (versus only 22,000 in the previous report), comprising about one of six nonfarm jobs. At a seasonally adjusted growth rate of 0.31 percent, health jobs are still growing faster than...
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Net Neutrality Can Harm Your Health



Last November, Independent institute Senior Fellow William Shughart wrote a couple of blot posts (here and here) skeptical of President Obama’s intention to impose so-called net neutrality on the Internet. The Federal Communications Commission (FCC) finally imposed net neutrality with some 300 pages of rules last February. I learned from Roslyn Layton of the...
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Health Spending Unscathed in Shrinking Economy



Last Friday’s terrible revision to first quarter GDP—from an initial estimate of 0.2 percent real growth to a real loss of 0.7 percent—confirms that health spending stands over our weak economy like a colossus. In the initial estimate, personal consumption spending on health services increased by $23 billion (chained 2009 dollars). Today’s second estimate...
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Maybe the Government Just Shouldn’t Ask People if They’re Uninsured



Sir John Cowperthwaite was the Financial Secretary of the British Colony of Hong Kong when it began to boom in the 1960s: Asked what is the key thing poor countries should do, Cowperthwaite once remarked: “They should abolish the Office of National Statistics.” In Hong Kong, he refused to collect all but the most...
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