Chris Pope

Senior Fellow, Manhattan Institute.
Opinions my own.

[Chris Pope @CPopeHC]

Everyone knows what conservatives don't like about the welfare state.
It's time for a right-of-center vision of what it *should* be doing:
https://t.co/Ee7VwhDGkn

[Chris Pope @CPopeHC]

SSI is the humble hero of the welfare state. It is highly effective, efficient, and costs a tiny amount compared to everything else.

[Chris Pope @CPopeHC]

@BradleyFlansbau My point (more in the full paper rather than op-ed) is that the volume decline is not a reduction in waste but of access to essential care.

[Chris Pope @CPopeHC]

It's striking that the response from Maryland hospital payment regulators isn't that my report has any facts wrong, but that they would prefer to emphasize a different set of points: https://t.co/GrTtGYT4ZA

[Chris Pope @CPopeHC]

@MakeUSAVAT i wouldn't say it's a "concession"! it's just something i think is true

[Chris Pope @CPopeHC]

@MakeUSAVAT I support moving away from group insurance to give plans better negotiating power vs hospitals: https://t.co/rlD1W47lux

[Chris Pope @CPopeHC]

@MakeUSAVAT I was expecting to find evidence that there was less access to care; but surprised to see how clear that evidence was, given that no-one else published it

[Chris Pope @CPopeHC]

nb: https://t.co/jF9b6aWYyI

[Chris Pope @CPopeHC]

It's striking how often policymakers formally opposed to means tests instead target universal benefits by things highly correlated with income, like geography or aid for inferior goods.
That may be a better or worse approach, but it's hardly a fundamental divide of principle.

[Chris Pope @CPopeHC]

@jskdn Everyone would become entitled to equally small amounts of food, shelter, education, and healthcare.

[Chris Pope @CPopeHC]

Why is Mamdani surprisingly cautious on Medicare For All?
https://t.co/0uII5adZuf
He's proposing a big increase in aid for the city's public hospitals, but extending Medicare rates to all would slash Bellevue revenues by 29%:
https://t.co/14Hwpl5UR6
Union interests come first.

[Chris Pope @CPopeHC]

Theories of the welfare state tend not to begin from LTC policy and build out from there. But it's the hardest case -- and therefore a good place to start.

[Chris Pope @CPopeHC]

Long-term care illustrates how entitlement policy unavoidably depends on a judgment of what people can do for themselves: Even a communist state must expect its able bodied citizens to provide for their own personal care needs (bathing, housekeeping, meal preparation...)

[Chris Pope @CPopeHC]

Hospital Global Budgets are at the heart of Medicare For All's claimed efficiency gains.
Maryland's experiment with Global Budgets since 2014 has yielded higher prices and less treatment of seriously ill patients.
https://t.co/QM1yftm9GH

[Chris Pope @CPopeHC]

(this is Medicaid spending per state resident)

[Chris Pope @CPopeHC]

It's striking that Minnesota has such high Medicaid HCBS spending on under 65s, when its HCBS spending on seniors is unexceptional: https://t.co/OZuDyiLGot

[Chris Pope @CPopeHC]

@yoshispeninsula that said, we're probably at peak "boomers dominating local government meetings late on wednesday nights"

[Chris Pope @CPopeHC]

Complaints about boomers are like those about any once-dominant group that's lost its power: https://t.co/a4MfCjlunZ

[Chris Pope @CPopeHC]

@yoshispeninsula Peak vote share probably around 2000-05. Seniors vote at about the same rate as those 45-65

[Chris Pope @CPopeHC]

@avelshi 💯%

[Chris Pope @CPopeHC]

The English language should adopt the French word "actifs" to denote "working age adults".

[Chris Pope @CPopeHC]

The same was true of the New Deal: https://t.co/Ojp2572prQ

[Chris Pope @CPopeHC]

The Great Society didn't significantly increase the generosity of welfare benefits, it mostly just expanded eligibility: https://t.co/qqq4fv2NJF