James Capretta has spent more than two decades studying American health care policy. As an associate director at the White House's Office of Management and Budget from 2001 to 2004, he was responsible for all health care, Social Security and welfare issues. Earlier, he served as a senior health policy analyst at the U.S. Senate Budget Committee and at the U.S. House Committee on Ways and Means. Capretta is also concurrently a Senior Fellow at the Ethics and Public Policy Center. At AEI, he will be researching how to replace the Patient Protection and Affordable Care Act (best known as Obamacare) with a less expensive reform plan to provide effective and secure health insurance for working-age Americans and their families.
Senior Fellow, Ethics and Public Policy Center, 2013 -present
Fellow, Ethics and Public Policy Center, 2006 -2012
Editorial Board, Health Affairs, 2012- present
Advisory Board, National Institute for Health Care Management, 2011-present
Associate Director for Human Resource Programs, Office of Management and Budget, 2001-2004
Senior Analyst, U.S. Senate Budget Committee and U.S. House Ways and Means Committee, 1990 -2000
Republicans are in strong position as the midterm election approaches. The mere possibility of full Republican control of Congress in 2015 is leading some to wonder what Republicans would do if they found themselves in such a position come January.
Growth is the problem. Or more precisely, slow growth is the problem. It’s the reason so many public policy questions in the United States now seem impossible to resolve. And it is the reason about 65 percent of voters believe the country is on the wrong track, according to an averaging of recent public polls by RealClearPolitics.
The modern federal budget process is turning 40 years old this year. Though the Budget Act has helped addressed some concerns facing lawmakers at the time of its creation, it is certainly not well suited to helping us deal with the most daunting and significant fiscal problems the federal government now faces.
Now in his sixth year in office, President Obama has made it clear he is not interested in serious reform of the major spending programs that are causing, and will continue to cause in the future, so much fiscal distress for the federal government. He wants to retain the current welfare state as it is, and in fact expand it with the new spending enacted in Obamacare.
Obamacare—or at least the version of it that the president and his advisers currently think they can get away with putting into place—has been upending arrangements and reshuffling the deck in the health system since the beginning of the year.