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Medicare and Health Policy

Friday, July 29, 2016

Why Does the United States Lack a Comprehensive Social Insurance System?

William J. Arnone, National Academy of Social Insurance

Thoughtful commentary on how we got from there to here

In a recent issue of the Boston Review, Elizabeth Anderson, Professor of Philosophy and Women’s Studies at the University of Michigan, wrote a provocative analysis ("Common Property: How Social Insurance Became Confused with Socialism", 7-25-16) of the origins and evolution of social insurance worldwide and in the United States. Her article includes key points that are critical to an understanding of the positioning of social insurance in our economic and political system, and in our culture. She poses a fundamental question: Why does the U.S. lack a comprehensive, universal social insurance system?

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Friday, July 1, 2016

Aspects of Inequality: Entrepreneurship, Paid Family Leave, and the Racial Wealth Gap

Rebecca Armendariz, 2016 National Academy of Social Insurance Intern, University of Maryland

As part of the Academy’s continued focus on income and wealth inequality, expert panelists convened at the National Press Club on June 21st for Advancing Equity and Inclusion through Social Insurance, three discussions that explored how public policies can bolster American family stability in an evolving economy. Recognizing how economic opportunity and mobility are affected by entrepreneurship, paid time away from work for caregivers, and the entrenched wealth divide between whites and people of color, panelists affirmed that social insurance programs provide a critical safety net for risk-taking, retirement planning, and family caregiving.

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Wednesday, April 20, 2016

How Things Get Done In Washington: Insights From 23 Former CMS Leaders

Timothy Trysla, Alston and Byrd LLP

This piece was originally published on the Health Affairs Blog on April 20, 2016.

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Friday, February 5, 2016

Income, Health, and Wealth Inequality Emerge as Strategic Focus of Academy Following January Policy Research Conference

Kristen Arnold, National Academy of Social Insurance

A blizzard dropping nearly 28 inches of snow did not stop hundreds of social insurance experts from participating in the Academy’s 28th annual policy research conference last week, Disparate Income, Wealth, and Opportunity: Implications for Social Insurance. Co-chaired by Kilolo Kijakazi of the Urban Institute, Maya MacGuineas of the Committee for a Responsible Federal Budget, and David Colby, the two-day conference – built upon two Fall convenings on the same topic – ushered in the Academy’s new strategic focus on income and wealth inequality. Participants, including new and veteran Academy members, came together to share views from both sides of the aisle on income, wealth, gender, and racial/ethnic disparities and how social insurance and other public policies can play a role in mitigating them in fiscally sustainable ways.

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Tuesday, July 28, 2015

Results of the Working Together Challenge

Kristine Quinio, Consultant; Lee Goldberg, Vice President of Health Policy, NASI; Thomas N. Bethell, Senior Fellow, NASI; Kristen Arnold, Income Security Program Analyst

The Academy launched Working Together in the spring of 2015, as an initiative to generate ideas that improve services and supports for working-age persons with disabilities and/or that promote access to quality services and supports. Using IdeaScale, an online crowd-sourcing platform, Academy members and other experts in disability and health were invited to participate by submitting ideas and/or voting on submitted ideas. Over 250 experts participated in the challenge, and more than 30 submissions were collected online from May to June 2015. After voting closed at the end of June, an Advisory Committee reviewed the submissions and identified six key areas to recommend for further action by the policy community.

Results of the Working Together Challenge

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