As part of the American Enterprise Institute project, Beyond "Repeal and Replace": Ideas for Real Health Reform, health policy analysts James C. Capretta and Thomas P. Miller observe that the recently enacted Patient Protection and Affordable Care Act does little, if anything, to break with these longstanding policy problems.

Breaking windows will stimulate the economy, according to a leading public pension advocacy group. Skeptical? The National Institute on Retirement Security (NIRS) has not literally endorsed breaking windows, but a report recently published by the organization relies on the same economic fallacy.According to NIRS-whose membership consists principally of...

Which politicians do you trust more to micromanage your health care: federal or state? That’s the false choice presented by two versions of “federalism” intended to divide responsibility for health policy between the national government and the states.

Tom Miller's proposals for Medicaid reform. 

This event will examine more radical reforms that — while aiming to accomplish the same goals as the current Social Security program — would do so through fundamentally different structures.

Using fair-market valuation, Nevada PERS’ unfunded liabilities would rise from about $10 billion to almost $41 billion. Shifting PERS to a defined-contribution, 401(k)-type structure would ensure that benefit obligations are fully funded going forward and that everyone is clear regarding the pensions promises the government has made and its ability to fulfill them.

Shifting government workers to 401(k)-style plans would offer greater transparency and keep benefits in line with the private economy.

Current pension accounting rules significantly understate state pension plan liabilities and overstate their funding health. Using accurate accounting, Washington’s combined plans would face a $50.6 billion short fall. By private pension standards Washington’s pension system would be considered endangered.