Policy Fellow @HooverInst I made @ShowMargin to make finding live shows easier

Joined March 2013
Fun announcement: I made an app called @ShowMargin to make finding live shows like concerts or games easier. It's free on the App Store here: apps.apple.com/us/app/show-m…
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Price negotiation in auto repair, plumbing, law, finance, accounting, general contracting, doesn’t work because the buyer knows a lot less than the seller. Sounds kind of ridiculous, doesn’t it. It’s almost as if markets adapted to information asymmetry…
Price negotiation in medicine doesnt work because the patient knows a lot less than the provider
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This was an amazing conference, and I was honored to be incited by @HooverInst to attend. I recommend everyone read @TomVChurch’s overview below. 👇
Medicare will require $10 trillion in taxpayer subsidies over the next decade. What would it take to make that number smaller? We asked a handful of Medicare experts for their $100 billion proposals. Here's what they came up with. 1/n
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Medicare will require $10 trillion in taxpayer subsidies over the next decade. What would it take to make that number smaller? We asked a handful of Medicare experts for their $100 billion proposals. Here's what they came up with. 1/n
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Last is my contribution, where I pitch a linear reduction in subsidies for high-income seniors on Medicare Part B through IRMAA payments. hoover.org/research/reducing…
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The full list is at my Substack post: church.substack.com/p/seven-… There's something for everyone (to love and to hate). The list isn't a comprehensive Medicare package, but it is a terrific starting point. Now we only need to identify another $9 trillion in savings...
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General revenue now funds about half of Medicare. A new brief by Hoover Policy Fellow @TomVChurch proposes replacing Medicare Part B's five IRMAA (Income-Related Monthly Adjustment Amount) premium tiers with a linear ramp that ends the taxpayer subsidy at $250,000 of income for single seniors and $500,000 for couples. The reform raises up to $113 billion over 10 years, removes premium cliffs to smooth out marginal tax rates, and leaves premiums unchanged for roughly 90% of Part B enrollees. Learn more: hoover.org/research/reducing…
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The amount of central planning already in American health care is incredible. In a functioning market, prices adjust constantly in response to what buyers are willing to pay and what sellers are willing to accept. Setting prices once a year is wild.
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Notable take from the coauthor of Abundance, a book about progressive policy priorities.
My take on wealth taxes is they won't work well at the local or state level, because you're targeting the people with the greatest means and motivation to just pick up and move somewhere, and they won't work well at the national level, because they'd almost certainly require a constitutional amendment, just as federal income taxes did (the 16th Amendment), so in both cases you're creating a levy that is basically designed to disappear.
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Tom Church retweeted
California's Billionaire Tax Act would collect roughly $30 billion. Accounting for lost income taxes from departures, the mean Net Present Value is negative $39 billion, from Benjamin Jaros and Joshua Rauh nber.org/papers/w35899
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Good take.
I’m pro-capitalism because “make something people want” beats “get appointed to decide what people need.”
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The way you pay for the welfare state is by imposing taxes on the middle class
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There are a lot of reasons why Medicare for All isn't a great idea. One part that's always bothered me is the way it breaks coverage for so many people to give it to a few. There are many better ways to cover those who need help. church.substack.com/p/medica…
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Brian Miller and I have a new podcast episode with Eric Hargan, former acting HHS secretary. We talk about lessons from Part D (good: competitive bidding and bad: Inflation Reduction Act benefit changes) and why central planning inevitably leads to problems. church.substack.com/p/the-le…
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