Healthcare

If you think your bills are bad now, just wait

Forgive the doom-mongering, but the US, and especially the UK, may be dangerously on course for a sovereign debt crisis. Yet debt and deficits play a surprisingly minimal role in our countries’ politics. Overspending on borrowed money hardly featured in either nation’s elections of 2024. A Labour MP hoping for Andy Burnham to challenge Keir Starmer for her party’s leadership recently told Times Radio that investors would see the UK as “the best place to be” if only the government pursued “progressive policies that do speak to our communities.” She added darkly, “The markets will have to get into line” – which was like brandishing a saber at the heavens and threatening that the weather “will have to get into line”... or else!

debt bills

Trump should replace Obamacare with personal accounts

President Donald Trump has reopened the healthcare debate with a mix of ideas that do not align. He has pledged to “terminate” Obamacare, then signaled openness to extending ACA subsidies, then endorsed personal freedom accounts that would send money directly to individuals. These proposals represent very different diagnoses of what is wrong with American health care. No serious reform effort can point in contradictory directions.But this problem extends far beyond Trump. Republicans have offered inconsistent signals, with some now willing to extend ACA subsidies again despite a decade of arguing – correctly – that these subsidies inflate premiums and entrench insurer dominance. Others want to preserve zero premium plans that simply shift costs onto taxpayers.

Trump healthcare