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What the Government Shutdown Was Really About with Elias Tsapelas

What the Government Shutdown Was Really About with Elias Tsapelas

Nov 20, 2025

Susan Pendergrass is joined by Elias Tsapelas, director of state budget and fiscal policy at the Show-Me Institute, to explain...

Webster Groves Addresses Hard Issues in Zoning

Webster Groves Addresses Hard Issues in Zoning

Jul 15, 2021

A version of this commentary appeared in the Webster-Kirkwood Times. Zoning can be a complicated issue for people who believe...

Agreeing and Disagreeing on Health Care Reform

Agreeing and Disagreeing on Health Care Reform

Aug 14, 2020

This week, my colleague Susan Pendergrass and I had the opportunity to sit down for a podcast with Stuart Butler,...

The Myth of “Free” Medicaid Expansion

The Myth of “Free” Medicaid Expansion

Feb 7, 2020

How do you pull the wool over taxpayers’ eyes in making a financial obligation totaling more than $2 billion disappear...

Will Missouri Reform Its Health Insurance Regulations in 2020?

Will Missouri Reform Its Health Insurance Regulations in 2020?

Nov 21, 2019

Over the last few years, I have talked at length about the importance of choice in health care. One of...

Short-Term Medical Insurance Makes the News Again

Short-Term Medical Insurance Makes the News Again

Nov 19, 2019

Jim Spencer at the Minneapolis Star-Tribune recently wrote about U.S. Senate opponents of short-term medical (STM) plans attempting yet again...

Another Year without Reform

Another Year without Reform

Jun 6, 2019

Missourians hoping for a reprieve from rising health care costs will have to wait at least another year. Once again,...

Medicaid Is Stifling Economic Growth in Missouri

Medicaid Is Stifling Economic Growth in Missouri

Dec 4, 2018

Stop me if you’ve heard this one before: Medicaid costs in Missouri are expected to increase drastically again next year....

HHS Secretary Talks Up Short-Term Medical Insurance Plans

HHS Secretary Talks Up Short-Term Medical Insurance Plans

Oct 5, 2018

Earlier this year I talked about a proposal in the Missouri legislature that I thought was a great idea: to...

Short-Term Medical Insurance Proposal Offers Opportunity to Get People Coverage

Short-Term Medical Insurance Proposal Offers Opportunity to Get People Coverage

Feb 28, 2018

There are a lot of reasons health care costs in the United States continue to grow. One is that we...

Yes, the Cost of Medicaid Has Exploded

Yes, the Cost of Medicaid Has Exploded

Jan 30, 2018

This week the St. Louis Post-Dispatch penned an article about whether the cost of Missouri’s Medicaid program has “exploded.” The paper...

Tax Cuts And Jobs Act Passes

Tax Cuts And Jobs Act Passes

Dec 20, 2017

As its details became clearer, we talked a lot over the least few weeks about the policy ideas that underpin...

Is Amazon Getting into the Pharmacy Business? Let’s Hope So

Is Amazon Getting into the Pharmacy Business? Let’s Hope So

Oct 27, 2017

Competition and supply are good things, and as we’ve said before, health care needs more of both. Innovations along those...

Ouch–Missouri Individual Health Insurance Premiums To Rise by Double Digits in 2018

Ouch–Missouri Individual Health Insurance Premiums To Rise by Double Digits in 2018

Sep 6, 2017

Over the Labor Day holiday, the state released next year’s Obamacare health insurance rates for Missourians in the individual market,...

Obamacare’s Total Eclipse of Bad Policy

Obamacare’s Total Eclipse of Bad Policy

Aug 22, 2017

On Monday, much of Missouri experienced a complete solar eclipse, the last of its kind in the state until 2024,...

Breaking: Blue Cross KC to Leave Obamacare Exchanges

Breaking: Blue Cross KC to Leave Obamacare Exchanges

May 24, 2017

Major news from Andy Marso at the Kansas City Star. Reportedly the move comes after the company experienced a $57...

House Vote The First of Many Important Health Care Milestones

House Vote The First of Many Important Health Care Milestones

May 4, 2017

Today the U.S. House of Representatives passed an amended draft of the American Health Care Act, described by Congressional leaders...

Don’t Count Health Care Chickens Before They’ve Hatched

Don’t Count Health Care Chickens Before They’ve Hatched

Apr 3, 2017

I raise chickens. No, I don’t own a farm, but for the four hens that live in my backyard, it...

Humana Announces 2018 Departure from Exchanges

Humana Announces 2018 Departure from Exchanges

Feb 17, 2017

Last year the state health insurance exchanges lost a host of providers as the companies providing the plans continued to...

Public Welfare Spending Growth

Public Welfare Spending Growth

Dec 1, 2016

Since the passage of the Affordable Care Act, public welfare and healthcare state spending have become the largest contributors to...

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