Articles
For Medicare, Trust Fund Solvency Is The Wrong Number To Focus On
The more important budget issue is that almost half of Medicare’s spending is subsidized by taxpayers.
August 24, 2026
American health policy is often judged by coverage, spending, and intentions rather than access, quality, and outcomes. From the collapse of trust after COVID to the performance of US healthcare and the case for market-based reform, the central question is how to improve care without sacrificing choice, innovation, or accountability.
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Creating A Continuum Of Care For Dual-Eligible Individuals
oney, power and security are intimately connected. For extended periods, the world’s financial center has been concentrated in one country, one city, one currency, providing in effect a code of conduct, whose most effective modern variants have been the nineteenth-century gold standard (1873–1914), the Bretton Woods system (1945–1971), and the international system around the so-called Washington Consensus (1980–2008). Each of these orders eventually frayed, and alternatives needed to be constructed. Concentration around a financial center yields powerful network advantages, but the historical record warns against treating any such arrangement as permanent. The emergence of rival centers has repeatedly been associated with heightened conflict, war, and destruction.
August 24, 2026