Roosevelt Institute | Cornell University

Understanding Medicaid Expansion from an Economic Perspective

By Joshua Mark Published November 3, 2013

January 1st, 2014 marks a historical day for the United States health care system. In just over a month, the Patient Protection and Affordable Care Act is set to take effect, and insurance exchanges are set to open across the country. Additionally, twenty-one states plan to expand Medicaid to those currently uninsured with incomes below 138% of the Federal Poverty Level (FPL) with other states currently in deliberation. The federal government is projected to pay for 93% of the increased costs (the costs resulting from increasing coverage from 100% of the FPL to 138% of the FPL) from 2014 until 2022, and 90% of those increases thereafter. Politics of the Affordable Care Act aside, I'd like to look into the opportunity cost of a state's decision to reject federal funding for Medicaid expansion.


Reforming Social Security

By Joshua Mark Published October 15, 2013

Social Security accounts for $768 billion, or 35% of federal expenditures per year. This program, for the purposes of this blog post, uses money collected though taxes to provide monetary assistance for Americans over the age of 65 in the United States. The program ensures financial stability in the final years of life, during which the elderly seldom have a significant income. While the underlying values of the program are clearly laudable, the program itself may not be the most cost-effective, or realistic way to protect the elderly from financial instability looking forward.