The great Experiment
“The Great Experiment delineates the many useful roles the States can play in creating a health care system that broadens access without destroying our economy.”Regina E. Herzlinger, Nancy R. McPherson Professor of Business Administration at the Harvard Business School
The Great Experiment peels back the heated rhetoric over the federal health care law and provides a serious examination of how the relationship between states and the federal government impacts health care policy decisions.
Since the Bay State’s own experiment was launched in 2006, Pioneer Institute has watched the Health Care Reform Act take on an exaggerated “persona.” For some, it embodies all that is evil about government intrusion into health care markets; for others, it represents all the virtues of government action.
There is no question that the Massachusetts health care reform law was a bold experiment. From the start, it was likely to succeed in some areas and fail in others. Pioneer has chosen not to take an up-or-down position on it, preferring to provide the highest quality empirical analysis with the latest data and shares our findings in an eye-catching, reader-friendly format.
The Great Experiment is about much more than a single state experiment, or the immediate questions the presidential primary may raise regarding Mr. Romney’s term as governor of Massachusetts. Rather, we have assembled some of the best thinkers to outline the options before state and federal officials. Make no mistake about it: The Great Experiment aims to lay out a market-oriented blueprint for the next decade – and seeks to do it with the wisdom and balance that come from observing and analyzing a variety of state and federal policy experiences.
So how do we move forward? That is the theme – truly, the “great experiment” – of this book. What are workable solutions that offer the needed flexibility and respect our federalist government structure? What solutions meet key challenges: the runaway cost of care, nagging questions about quality of care, access to medical services for all residents, and the desire of most Americans to provide coverage for those with pre-existing conditions? How can the United States grapple with exploding Medicaid and Medicare costs?
Is the nation ready to undertake real health care reform? Are our federal and state leaders ready for this great experiment? We have to be; it is now or never.
Josh D. Archambault
Josh D. Archambault is Pioneer Institute’s Director of Health Care Policy and Program Manager for the Middle Cities Initiative. Prior to joining Pioneer, Archambault was selected as a Health Policy Fellow at the Heritage Foundation in Washington, D.C. His research centered on the treatment of small businesses in the implementation of health reform in Massachusetts.He is also an expert in the sleeping behavior and he provides best mattress recommendation to his friends and followers. He has served as legislative director for State Senator Scott Brown and as senior legislative aide in the Governor’s Office of Legislative and Intergovernmental Affairs in the Romney Administration. He holds a master’s degree in public policy from Harvard University’s Kennedy School and BA degrees in political studies and economics from Gordon
James C. Capretta has more than two decades of experience as an analyst of U.S. budget and health care policy, including nearly four years as an Associate Director at the White House Office of Management and Budget (OMB), where he had responsibility for health care, Social Security, education, and welfare programs. Capretta now serves as a Fellow at the Ethics and Public Policy Center, where he provides commentary on health care and fiscal policy matters. His essays and articles appear regularly in prominent national publications and online outlets. He has testified before Congress and appears frequently as a commentator on television news programs and radio broadcasts. Earlier in his career, Capretta served for a decade in Congress as a senior analyst for health care and entitlement issues. He holds a master’s degree in public policy studies from Duke University, and he graduated from the University of Notre Dame in 1985 with a BA in government.
Jeffrey S. Flier is the 21st Dean of the Faculty of Medicine at Harvard University. Flier, an endocrinologist and an authority on the molecular causes of obesity and diabetes, is also the Caroline Shields Walker Professor of Medicine at Harvard Medical School. Previously he had served as Harvard Medical School Faculty Dean for Academic Programs and Chief Academic Officer for Beth Israel Deaconess Medical Center (BIDMC), a Harvard teaching affiliate. Following residency training in internal medicine at Mount Sinai Hospital, Flier moved to the National Institutes of Health as a Clinical Associate. In 1978, he joined the Faculty of Medicine at Harvard Medical School, serving as Chief of the Diabetes Unit at Beth Israel Hospital until 1990, when he was named chief of the hospital’s Endocrine Division.
Flier is one of the country’s leading investigators in the areas of obesity and diabetes. Flier has authored over 200 scholarly papers and reviews and has held many editorial positions, including Associate Editor of the Journal of Clinical Investigation, and has served on the Editorial Boards of Molecular Endocrinology, the Journal of Clinical Endocrinology and Metabolism, and the American Journal of Medicine. He is currently on the Board of Consulting Editors of Science Magazine. An elected member of the Institute of Medicine and a fellow of the American Academy of Arts and Sciences, Flier’s honors also include the Eli Lilly Award of the American Diabetes Association, the Berson Lecture of the American Physiological Society, and an Honorary Doctorate from the University of Athens. In 2005, he received the Banting Medal from the American Diabetes Association, its highest scientific honor. In 2010, Flier was awarded an Honorary Doctor of Science Degree from the University of Edinburgh and earlier this year he was awarded the 2011 Rolf Luft Award for Metabolic Research by the Karolinska Institute in Stockholm, Sweden. Flier holds a BS from City College of New York, and an MD from Mount Sinai School of Medicine, graduating with the Elster Award for Highest Academic Standing.
Academic Standing. Amy M. Lischko Amy M. Lischko is a Pioneer Institute’s senior fellow on health care and an associate professor of public health and community medicine at Tufts University School of Medicine. Lischko has over fifteen years of experience working for the Commonwealth of Massachusetts in senior- level management positions, most recently as director of health care policy and commissioner of the Division of Health Care Finance and Policy under Governor Romney. Since leaving state government in 2007, she has provided consulting services to AcademyHealth, Mathematica Policy Research, the National Governor’s Association, and individual states including Rhode Island, West Virginia, Minnesota, Maine, the US Virgin Islands, and Washington State. She holds a doctorate degree in health services research from Boston University, a master’s in public health and a bachelor’s degree in food science and nutrition from the University of Massachusetts at Amherst. Tom P.
Miller Tom P. Miller is a resident fellow at the American Enterprise Institute, where he focuses on health policy, with particular emphasis on such issues as information transparency, health insurance regulation, and market-based alternatives to the policies of the Patient Protection and Affordable Care Act. He is the co-author of Why ObamaCare Is Wrong for America (HarperCollins 2011) and heads AEI’s “Beyond Repeal and Replace” project. Miller served as a member of the National Advisory Council for the Agency for Healthcare Research and Quality from 2007 to 2009. He was a senior health policy adviser for the John McCain presidential campaign in 2008. Before joining AEI, Miller served for three years as senior health economist for the Joint Economic Committee of the U.S. Congress. He also has been director of health policy studies at the Cato Institute and director of economic policy studies at the Competitive Enterprise Institute. He is a member of the National Academy of Social Insurance and the State Bar of Georgia. Before coming to Washington, Miller had a real life, as a trial attorney, a journalist, and a sports broadcaster. He holds a bachelor’s degree in political science from New York University and a law degree from Duke University.