- Posted byon May 29, 2009 at 9:47 AM EST
When I give public talks on health care reform, the question I receive most often is "given the government’s fiscal situation, how can it make sense for the government to take on new spending commitments as part of health reform?" The answer is two-fold.
- Posted byon May 28, 2009 at 10:25 AM EST
As I have written and talked about before, one of the biggest signals of inefficiency in American health care is the massive regional variation in cost and health outcomes. As the Dartmouth Health Atlas has made clear, medicine is practiced differently in different regions across the country, different cities, and even among different hospitals in the same city. And yet the higher cost areas and hospitals don’t generate better outcomes than the lower-cost ones.
- Posted byon May 21, 2009 at 12:45 PM EST
Today, I’m pleased to announce that the Federal CIO Council is launching Data.gov. Created as part of the President’s commitment to open government and democratizing information, Data.gov will open up the workings of government by making economic, healthcare, environmental, and other government information available on a single website, allowing the public to access raw data and transform it in innovative ways.
- Posted byon May 20, 2009 at 5:06 PM EST
This morning I was very pleased to speak at the "Best Places to Work in the Federal Government" awards breakfast—an event sponsored by the Partnership for Public Service and American University's Institute for the Study of Public Policy Implementation to honor agencies that have distinguished themselves by excelling at employee engagement and satisfaction. And, I’m happy to report that OMB placed third – tied with CBO.
- Posted byon May 15, 2009 at 7:57 AM EST
Despite a media report to the contrary this morning, allowing some time for a ramp-up does not change the fundamental significance of the commitment made earlier this week by health care providers and insurers to reduce the growth rate of health care costs.
- Posted byon May 15, 2009 at 6:59 AM EST
I have an op-ed in the Wall Street Journal today on a topic of great personal interest and central to the nation’s future: the immense fiscal challenge of rising health care costs, and the opportunity embedded within that challenge to reduce costs in the health care system without sacrificing quality.
- Posted byon May 12, 2009 at 4:09 PM EST
Today, the Trustees of the Medicare and Social Security Trust Funds released their annual reports detailing the financial operations and long-term positions of the Medicare and Social Security Trust Funds.
- Posted byon May 12, 2009 at 2:45 PM EST
Media reports today are suggesting that OMB has found fault with EPA’s proposed finding that emissions of greenhouse gases from motor vehicles contribute to air pollution that endangers public health and welfare. Any reports suggesting that OMB was opposed to the finding are unfounded.
- Posted byon May 11, 2009 at 8:32 AM EST
Today, we released the final volumes of the President’s FY 2010 Budget.
- Posted byon May 9, 2009 at 8:30 AM EST
As I have said more than a few times before (even on this blog) reducing health care costs is the key to the country’s fiscal future and also to providing relief to American families from rising health care bills.
- Posted byon May 8, 2009 at 2:15 PM EST
This morning I delivered a speech at a Joint Symposium of the Committee on National Statistics and the American Academy of Political and Social Science on a topic near to my (admittedly wonkish) heart—the role of Federal statistics in developing and executing good public policy.
- Posted byon May 7, 2009 at 9:25 AM EST
We in the Administration have spoken often about the President’s Budget heralding a new era of responsibility—an era in which we not only do what we must to lift our economy out of recession, but in which we also lay a new foundation for long-term growth and prosperity.
- Posted byon May 4, 2009 at 2:35 PM EST
This week is another busy one at OMB: we are releasing the full account-level budget on Thursday.
- Posted byon May 1, 2009 at 5:00 PM EST
Champagne corks are flying (or more accurately, Diet Coke cans are being opened) here at OMB to congratulate Xavier de Souza Briggs for being awarded tenure by the Massachusetts Institute of Technology today.
- Posted byon April 27, 2009 at 12:47 PM EST
My co-author and friend Emmanuel Saez was awarded the John Bates Clark Medal on Friday. The prize, which is awarded to the best American economist under the age of forty, is one of the highest honors the economics profession can bestow upon one of its own.
- Posted byon April 20, 2009 at 6:33 PM EST
One of the most important intellectual developments of the past several years that has had a huge impact on my own thinking has been the rise of behavioral economics.
- Posted byon April 20, 2009 at 10:59 AM EST
This morning I delivered a speech before the Association of American Universities, an association of 62 major public and private research universities in the United States and Canada.
- Posted byon April 18, 2009 at 8:00 AM EST
Lately, OMB has been consumed with the “B” in our title – the budget – but an equally important part of our mission is the “M” or management of the federal government.
- Posted byon April 17, 2009 at 5:09 PM EST
In addition to its other responsibilities, OMB reviews proposed regulations and coordinates an interagency review process. We have now concluded review of the Environmental Protection Agency’s (EPA’s) proposed finding that emissions of greenhouse gases from motor vehicles contribute to air pollution that endangers public health and welfare.In addition to its other responsibilities, OMB reviews proposed regulations and coordinates an interagency review process. We have now concluded review of the Environmental Protection Agency’s (EPA’s) proposed finding that emissions of greenhouse gases from motor vehicles contribute to air pollution that endangers public health and welfare. Now that review is concluded, the endangerment finding will be published in the Federal Register and subject to public comment.
EPA's proposed finding closely follows the language of the Clean Air Act, and includes two components.
First, certain greenhouse gas emissions constitute air pollution that may reasonably be anticipated to endanger public health and welfare.
Second, emissions from motor vehicles cause or contribute to that air pollution.
The proposed finding is carefully rooted in both law and science. In Massachusetts v. EPA (2007), the Supreme Court found that greenhouse gases count as "air pollutants" under the motor vehicle emissions provisions of the Clean Air Act, and signaled that EPA should answer the question whether greenhouse gas emissions are air pollution that endangers the public health and welfare. After an extensive analysis of the scientific evidence, and a careful process of interagency review, the EPA proposes to answer that question in the affirmative.
By itself, the EPA’s proposed finding imposes no regulation. (Indeed, by itself, it requires nothing at all.) If and when the endangerment finding is made final, the EPA will turn to the question whether and how to regulate greenhouse gas emissions from new automobiles. The President has made it clear that he wants to move the nation toward clean energy, and that part of that effort involves a legislative approach to reducing greenhouse gas emissions under a "cap and trade" program. Such a program would be more effective and efficient than most types of regulation. While such a program is being debated in the Congress, however, the Administration is following both the science and the law with regard to the Clean Air Act.
Learn more about the finding here.
- Posted byon April 13, 2009 at 4:30 PM EST
The National Journal blog entry on the Administration’s proposals on health care reform highlights some important issues. But is also contains some red herrings – like the idea the Administration’s proposals won’t reduce costs.
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