Chris Pope
@CPopeHC
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Senior Fellow, Manhattan Institute. Opinions my own.
Joined July 2017
Like a lot of healthcare policy, a 10-year CBO score looks gigantic. But translate it into substantive terms, and it's actually pretty modest.
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@awgaffney Old CBO projections are the closest thing we have to a counterfactual benchmark for complex future spending estimates.
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@lawsonhmansell Yes. There's a good research literature on this:
Subsidies for physician training are unnecessary. Economists note that medical residents perform valuable work for hospitals, and “implicitly pay for the high cost of their training… by accepting salaries below the market value of their services.”
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@SethBorman There's no evidence that GME subsidies increase overall spending on medical training. There's a case to be made for some "GME" subsidies; but it's got little to do with medical education.
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In 2021, Medicare and Medicaid distributed $25 billion for GME to a fifth of the nation’s hospitals. With around 100,000 physicians in training, these add-on payments amounted to more than four times the average resident salary of $59,279.
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The Biden administration did a great job of illustrating this on their way out the door:
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Uncoincidentally, NYU Langone is one of the most expensive hospitals in the country:
Axios Vitals is experiencing some technical difficulties hitting inboxes this morning, but you can read the full newsletter here: And here's my story from this morning, on why NYU Langone's Super Bowl ad raised eyebrows 👀:
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Republicans could save $0.6T over 10 years just by slowing the growth of funds states can claim to further expand optional Medicaid benefits:
AM: House Republicans are looking to cut between $2T and $2.5T in reconciliation, which will likely necessitate Medicaid cuts. This has caused some friction in the leadership and in the rank and file.
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