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  • Medicaid Block Grants and Medicaid Performance0

    • March 21, 2012

    Governments at all levels are facing severe fiscal stress, and Medicaid is the largest and fastest growing publicly-funded health program in the United States. State and federal authorities have had little success in controlling Medicaid expenditures with conventional reforms, and changing it from an entitlement program to a block grant program is now under discussion. This Issue Paper explores how transforming Medicaid into a block grant program offers the promise of improving patient care and restraining the growth in program costs.

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  • Federal Pay Freeze Should Precede a Larger Fiscal Conversation0

    • December 16, 2010

    by Barry Fagin As a long-time, hard-working federal employee who gives up a lot to work where he does, I have just one thing to say about the proposed federal employee pay freeze. I think it’s a terrific idea. Well, maybe not exactly terrific, particularly if you think about how little difference it would actually

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  • How Much Does Government Cost You?0

    • September 17, 2010

    Thanks to our friends at the Independent Institute out in Oakland, California, regular folks like us can figure out just how much the government is costing us in direct payments and in lost earnings over our lifetime.  From the About Page on the MyGovCost website, The Government Cost Calculator is a unique service from The

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