John R. Graham Archive

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

Employers Who Dump Workers onto Medicaid: The New Corporate Welfare Queens?



There have been a lot of predictions about the future of employer-based health benefits under Obamacare. Reports suggest that increasing numbers of small businesses are dropping health benefits and sending their employees to Obamacare’s insurance exchanges, where they are partially subsidized. Other businesses have found a bigger cost-shifting approach. BeneStream, a new benefits advisor,...
Read More »

No Jobs Bump from Obamacare



Last Friday’s employment report demonstrated once again that Obamacare is not having the effect that the health services industry overall hoped for: Employment in health care is increasing at pretty much the same pace as in the rest of the economy. There is no evidence of an Obamacare jobs bump.

Obamacare’s Effect on Uninsured Is Trivial



At the end of 2014, Jason Furman and Matt Fiedler of President Obama’s Council of Economic Advisers published an analysis of the uninsured in the first half of 2014. The two economists boasted that “2014 Has Seen Largest Coverage Gains in Four Decades, Putting the Uninsured Rate at or Near Historic Lows.” Their own...
Read More »

Medicaid Expansion Does Not Create Healthcare Jobs



Ani Turner of the Altarum Institute has examined the growth in healthcare jobs in states which expanded Medicaid versus those which did not expand Medicaid. Here are an image and an excerpt from her blog: This preliminary analysis shows that the recent acceleration in health care job growth should not be attributed primarily to Medicaid...
Read More »

Last week’s GDP Estimate Included a Massive Upward Revision in Health Spending



Last week’s third estimate of 3rd quarter GDP contained a significant upward revision to the real (inflation-adjusted) increase in GDP, from a 3.9 percent in the second estimate (released in November) to 5.0 percent in the third estimate. November’s second estimate of 3rd quarter GDP included very tempered growth in health spending. The third estimate blows...
Read More »

Obamacare Premiums Higher in States with ‘Active Purchaser’ Exchanges



Sixteen states plus the District of Columbia chose to set up their own Obamacare exchanges, in which insurers offer subsidized health insurance to individuals. States had two ways to set up exchanges. Ten set up exchanges where the exchange itself was the “active purchaser,” meaning that it negotiated premiums, provider networks, and number and...
Read More »

Photo Explaining Obamacare’s Perverse Incentives Is Worth a Thousand Words



Health insurers in Obamacare’s exchange plans have perverse incentives to attract healthy patients and deter sick ones from enrolling. This is because the law forbids insurers from charging premiums that reflect applicants’ likelihood of incurring high medical costs. Although there are risk-mitigation mechanisms to overcome this, they appear to be inadequate. If this photo does not tell...
Read More »

High Taxes, Lack of Federal Bailout Make Vermont Cancel Single-Payer Plan



Vermont Governor Peter Shumlin has cancelled his longstanding plan to impose government-monopoly health care in the Canadian border state: Tax hikes required to pay for the system would include a 11.5 percent payroll tax as well as an additional income tax ranging all the way up to 9.5 percent. Shumlin admitted that in the...
Read More »

CROmnibus and Cronyism for Blue Health Plans?



Despite the end of Obamacare’s “bailout” for health insurers, some of our friends who seek to repeal and replace Obamacare insist on finding a crony capitalist under every bed and in every closet. Yuval Levin, at National Review Online, appears to have been the first to identify an adjustment to an insurance regulation, buried in the...
Read More »

How Obamacare Hurts Its Beneficiaries: Two Vignettes



Last week, the mainstream media ran two stories about two Obamacare “beneficiaries” who were actually victims. The first was about a woman whose husband was already extremely sick, and was subject to the risk of being unable to buy health insurance in the individual market if he lost his employer-based benefits. That was a...
Read More »