Share

cover art for Would ‘Medicare for All’ Mean Quality for All? How Public‐​Option Principles Could Reverse Medicare’s Negative Impact on Quality

Cato Event Podcast

Would ‘Medicare for All’ Mean Quality for All? How Public‐​Option Principles Could Reverse Medicare’s Negative Impact on Quality

•

Since the program’s creation in 1965, Medicare has had a negative impact on health care quality. Researchers have documented widespread quality problems for decades, yet Congress and Medicare administrators have failed to enact meaningful reform. Medicare’s negative impact on quality should give even the staunchest Medicare for All advocates pause.


A new article by Michael F. Cannon and Jacqueline Pohida proposes the novel solution of applying traditionally Democratic “public option” principles to Medicare. Public‐​option advocates argue that when a government health plan and private insurers compete for enrollees on a level playing field, competition will deliver more of what enrollees want. Applying public‐​option principles to Medicare requires eliminating any advantages traditional Medicare or private insurers may have to create a completely level playing field between all forms of health insurance. Public‐​option principles would promote quality within Medicare by allowing open competition between different payment rules and quality‐​improvement programs.


At this virtual event, leading health policy experts will discuss how Medicare impacts health care quality and what policymakers should do to give enrollees the update in health care quality they deserve.

More episodes

View all episodes

  • The Troublemaker How Jimmy Lai Became a Billionaire, Hong Kong’s Greatest Dissident, and China’s Most Feared Critic

    01:17:51|
    Jimmy Lai became China’s most prominent political prisoner when he was arrested and convicted on trumped-up charges after Hong Kong imposed its draconian security law in mid-2020. Mark Clifford will tell Lai’s story of escaping China to Hong Kong as a boy, becoming a successful entrepreneur in the fashion industry, and founding and running the wildly popular Apple Daily newspaper and Nextmagazine to criticize China’s Communist Party and advocate for democracy in Hong Kong. The author will discuss why Lai became a stalwart champion of Hong Kong’s freedoms. Jimmy Lai’s son, Sebastien, and Mark Simon will discuss the importance of Lai’s activism, the state of his current national security trial, and any prospects for Lai’s own freedom.

  • Social Media and Youth Mental Health: A Civic Learning Week Conversation

    01:00:37|
    In recent years, calls to limit, regulate, or ban social media platforms have escalated from all corners of the political spectrum. These concerns have been as varied as national security, foreign ownership, and the danger of disinformation in a divided democracy. Yet perhaps the most cross‐​partisan concern has come from increasing evidence of social media’s detrimental impact on youth mental health. Join Sphere Education Initiatives on March 10 from 7:30 p.m. to 8:30 p.m. for a timely webinar on social media and youth mental health featuring Jennifer Huddleston, senior fellow in technology policy at the Cato Institute, and Clare Morrell, fellow at the Ethics and Public Policy Center.Offered during Civic Learning Week, which runs March 10–14 this year, this webinar seeks to highlight “the civic knowledge, skills, and dispositions that provide the foundation for an informed and engaged populace.” For more information about Civic Learning Week, visit civi​clearn​ing​week​.org.

  • Common Law Liberalism: A New Theory of the Libertarian Society

    01:30:33|
    In conventional political debate—particularly in Washington, DC—“law” is understood as top-down legislation: rules consciously designed and imposed by central authorities. John Hasnas challenges this unspoken assumption, pointing to the Anglo-American common law, a decentralized, continually evolving system that produces order without conscious design or political control. In his important new book, Common Law Liberalism: A New Theory of the Libertarian Society, he offers a theory of liberalism that demonstrates that the common law can serve as an effective alternative to traditional politically created legislation. Hasnas’s thesis has implications ranging from modest (many government functions can be better supplied by the common law than by centralized legislation) to radical (if human beings do not need the state to make law, do they need the state at all?).Please join us for a discussion of this provocative new book featuring the author and Professor David Schmidtz, director of the Social Philosophy and Policy Center at West Virginia University, moderated by Cato’s Gene Healy.

  • Why Argentina Must Still Dollarize

    01:17:50|
    Argentine President Javier Milei came to power nearly a year ago on the campaign promise to abolish the central bank and dollarize his country’s economy. As part of his ambitious reform agenda, the government has eliminated fiscal deficits and significantly reduced public spending and inflation. Milei remains committed to dollarization but has not yet implemented that reform. Given the progress in stabilizing the economy, Emilio Ocampo, Alfredo Romano, and Nicolas Cachanosky will discuss why Argentina should not wait to replace the peso with the dollar. Drawing from regional experiences and Argentina’s own history, they will explain how carrying out such monetary reform sooner rather than later—along with lifting capital controls and freeing the exchange rate—would boost confidence in the Argentine economy and produce tangible economic and political benefits.

  • Presidential Tariff Powers and the Need for Reform

    01:18:16|
    From the founding of the republic through the early 1930s, Congress set tariff rates through legislative revisions to the US tariff schedule. Low tariffs were initially imposed to raise revenue for the federal government, but tariffs became a tool to protect domestic producers from foreign competition. Today, Congress has broadly delegated its constitutional tariff powers to the president, and there is a real risk that the legislative and judicial branches would be unwilling or unable to check a future president’s abuse of US trade law as currently written.In a recent briefing paper titled “Presidential Tariff Powers and the Need for Reform,” Cato scholars examine the current laws that might allow the president to impose broad tariffs without congressional input, as well as the reform options available to Congress for restoring balance between the legislative and executive branches.

  • Saving Academia: A Conversation with Rep. Burgess Owens

    01:00:53|
    Higher education is at a crossroads. American universities are facing important questions about accountability and viability, including concerns about ideological influences, rising administrative costs, shifting academic expectations, and the growing challenge of student loan debt. But what are the underlying causes of these challenges, and how can we address them?Join us for a thoughtful discussion with The Honorable Representative Burgess Owens, chairman of the Higher Education and Workforce Development Subcommittee, alongside Cato experts Erec Smith, PhD, and Andrew Gillen, PhD as they examine the challenges facing academia today and explore practical solutions for the future.

  • The Antitrust Case Against Occupational Licensing Boards

    55:06|
    Occupational licensing boards today act like protectors of cartels, often going beyond merely issuing licenses to launching witch hunts and boxing out their competitors. February 2025 marks the 10-year anniversary of the US Supreme Court decision in North Carolina State Board of Dental Examiners v. FTC. In that case, that state’s dental licensing board was ruled to be acting like a monopolist (using the power given to it by the state government) by trying to drive non-dentist teeth whiteners out of business. This policy forum will discuss the policy landscape that resulted from that decision and what it should mean for liberty-minded policymakers and litigators in the future.

  • Defending Due Process Why Fairness Matters in a Polarized World

    01:03:26|
    In a Q&A, Brandon Garrett and Vikrant Reddy will discuss the new threats that due process faces and how we can respond by better safeguarding fundamental liberty and property rights. They will discuss why people are tempted to place outcomes before fairness—in society and in the courts. They will explore how new technology, including artificial intelligence, has created new threats to fairness and rights. And they will discuss how people, from judges to local community leaders, can find common ground around defending due process.

  • Islam and Statecraft: Religious Soft Power in the Arab Gulf States

    01:30:54|
    Religion plays a prominent role in the domestic and foreign policies of Middle Eastern states, particularly in the Persian Gulf. But the ways in which religion, specifically Islam, is used as a tool of statecraft are often misunderstood, leading to mischaracterizations and counterproductive policies.In his new book, Jon Hoffman examines how Islam is marshaled as a tool of statecraft in the Middle East. The book offers new insight into the geopolitics of religion in the Middle East and how ruling elites in the region use Islam to protect and advance what are inherently political objectives—namely, regime preservation and power projection. Understanding the political incentives behind the manipulation of religion in the region is critical to debates surrounding Islam, democracy, and authoritarianism in the Middle East. The book also raises critical questions for US policy in the Middle East, which often relies on fundamental misunderstandings of Islam and its relationship with politics in the region.Join Hoffman for a discussion on Islam and Statecraft, followed by commentary by Mustafa Akyol, Peter Mandaville, and Annelle Sheline on the politics of Islam in the Middle East.