James C. Capretta is a resident fellow and holds the Milton Friedman chair at the American Enterprise Institute.
He studies and provides commentary on a wide range of public policy and economic issues, with a focus on health-care and entitlement reform, and U.S. fiscal policy.
Mr. Capretta served for nearly sixteen years in senior positions in the executive and legislative branches of the federal government. From 2001 to 2004, he served as an Associate Director at the White House Office of Management and Budget (OMB), where he had responsibility for Medicare, Medicaid, Social Security, education, and welfare programs. Earlier, he spent a decade at the Senate Budget Committee as a senior analyst for health care and entitlement policy.
Mr. Capretta’s articles and essays have appeared in a large number of print and online publications.
Recent Posts by James Capretta
There is bipartisan agreement on the goal of promoting more efficient and effective health care. The debate is over the best way to accomplish the goal, not the goal itself.
CBO is basically correct that AHCA would trigger a short-run rise in premiums and both short- and longer-term increases in the number of uninsured people. Instead of trying to discredit these findings, AHCA’s authors would be better off using CBO’s estimate as a guide for fixing the bill.
The ACA repeal and replace plan, dubbed the American Health Care Act, has the major components needed for effective health reform. However, the plan falls short on several crucial details, details that can and should be changed before the bill clears Congress and goes to the president to become law.
The most likely end result of “repeal and delay” would be less secure insurance for many Americans, procrastination by political leaders, and ultimately no discernible movement toward a real marketplace for either insurance or medical services.
The main problem with the exchanges is not with the exchanges themselves, but with Affordable Care Act policies that have undermined the ongoing viability of the entire individual insurance market.
The basic goal of the newly released House GOP health reform plan is to ensure all Americans have access to affordable health insurance and high quality health care services, but without as much reliance on federal control and regulation as the ACA.
Given the structure of the ACA, it would be hard to conclude the law would not eventually reduce hours worked or total compensation, although the magnitude of the resulting changes may be as yet hard to detect in the U.S.’s large and complex labor markets.
We propose a plan to replace the ACA and to enact major reforms to the tax treatment of employer-sponsored health care, Medicaid, Medicare, Health Savings Accounts, and other areas. The plan would reorient health policy away from bureaucratic regulation and toward patients and consumer preferences.
If the Supreme Court rules in favor of the plaintiffs in the King v. Burwell case, Congress will have the opportunity to advance health-care policies that expand consumer choice, increase coverage, deliver better value for the dollar, and allow state governments more say over health care policy.
Anticipating the upcoming Supreme Court decision on King v. Burwell, which could halt health insurance subsidies available through the federal exchange, Republican Senators Richard Burr and Orrin Hatch joined with Representative Fred Upton to propose a comprehensive replacement for the...