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Renewing America

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The Real Problem With the ‘Doc Fix’

by Renewing America Staff
Doctor Stephen Hippler treats patient Don Roth at his office in Peoria, Illinois (Jim Young/Courtesy Reuters). Doctor Stephen Hippler treats patient Don Roth at his office in Peoria, Illinois (Jim Young/Courtesy Reuters).

After failing to find a permanent solution, Congress is poised to pass another one-year patch to prevent major cutbacks to doctors who treat Medicare patients. In a new column for Bloomberg View, CFR Adjunct Senior Fellow Peter Orszag argues that healthcare providers are already anticipating a shift toward a system based on value of care, not volume of services. A responsible Congress would pass permanent legislation clearing the path for that shift.

Marrying Your Equal Boosts Inequality

by Renewing America Staff
U.S. Navy Petty Officer 3rd Class John Chen, 23, from Lakehurst, New Jersey, kisses his new bride Victoria Chan, 25, from Manhattan, as they pose for photographers after they were married in a civil ceremony at New York City's Office of the City Clerk (Mike Segar/Courtesy Reuters). U.S. Navy Petty Officer 3rd Class John Chen, 23, from Lakehurst, New Jersey, kisses his new bride Victoria Chan, 25, from Manhattan, as they pose for photographers after they were married in a civil ceremony at New York City's Office of the City Clerk (Mike Segar/Courtesy Reuters).

Americans are increasingly marrying people of similar income and educational backgrounds. In a new column for Bloomberg, CFR Adjunct Senior Fellow Peter Orszag discusses the effects of this phenomenon, including increased inequality, changes in women’s participation in the workforce, and reduced geographical mobility.

U.S. Budget Deal: A Needed Step

by Renewing America Staff

While the new budget deal isn’t a grand bargain, it is a necessary first step, writes CFR’s Robert Kahn on his blog “Macro and Markets.” The deal won’t dramatically reshape spending over the next two years, but it will restore a sense of sanity to U.S. fiscal policy. Additionally, Democrats and Republicans both crossed former red lines, giving a sense of where the budget debate may head in the coming year.

New Zealand Offers Lessons for the U.S. Housing Bubble

by Renewing America Staff
New Zealand resident Brett Plumer nails a national flag to his house in Auckland (Bogdan Cristel/Courtesy Reuters). New Zealand resident Brett Plumer nails a national flag to his house in Auckland (Bogdan Cristel/Courtesy Reuters).

The Federal Reserve may have lessons to learn from New Zealand about managing a mortgage market. In an op-ed for Bloomberg, CFR Adjunct Senior Fellow Peter Orszag explains that by imposing limits on high loan-to-value mortgages, the Reserve Bank of New Zealand is helping to manage housing prices.

The High Stakes in Regional Trade Talks

by Renewing America Staff
European Union chief negotiator Ignacio Garcia Bercero (left) and U.S. chief negotiator Dan Mullaney (right) address a joint news conference during the second round of EU-US trade negotiations for Transatlantic Trade and Investment Partnership in Brussels November 15, 2013 (Francois Lenoir/Courtesy Reuters). European Union chief negotiator Ignacio Garcia Bercero (left) and U.S. chief negotiator Dan Mullaney (right) address a joint news conference during the second round of EU-US trade negotiations for Transatlantic Trade and Investment Partnership in Brussels November 15, 2013 (Francois Lenoir/Courtesy Reuters).

International trade negotiations are at a crucial stage. The multilateral front, with the World Trade Organization (WTO) at its center, is facing a foundational crisis. In a new expert brief, The High Stakes in Regional Trade Talks, Jaime Zabludovsky Kuper and Sergio Gómez Lora explain that the future of international trade, at least in the short and medium term, depends heavily on the outcome of regional agreements such as the Transpacific Partnership (TPP) and the Transatlantic Trade and Investment Partnership (TTIP).

The Tobacco Problem in U.S. Trade

by Renewing America Staff

In the context of the Trans-Pacific Partnership, a pending trade deal between the U.S. and eleven other countries, the White House has a tremendous opportunity to forge a new approach on tobacco that balances U.S. mandates on trade with its obligations to promote public health at home and abroad, writes CFR Fellow Thomas Bollyky in this CFR Expert Brief.

How to Win Over GOP on Immigration

by Renewing America Staff

Though many declared the Senate’s immigration bill dead on arrival in the House, Edward Alden writes that prospects for big bipartisan agreement may not be out of reach. For CNN.com, he writes that to get across the finish line, both parties should emphasize areas of agreement, not waste time on those who won’t vote for reform, emphasize that this bill will outlast the Obama administration, demand performance accountability, and prioritize the issue of the undocumented population.

Critics Are Wrong About the Medicare Payment Board

by Renewing America Staff

For Bloomberg, CFR adjunct senior fellow Peter R. Orszag responds to growing opposition to the Independent Payment Advisory Board. Created as part of the Affordable Care Act, the purpose of the board is to create a process to tweak the evolving Medicare payment system in response to incoming experience and data, allowing for more flexible testing of new payment structures than turning to Congress for legislation. Orszag states that many critics do not grasp the core rationale for the program and do not realize it will allow them to actually reach their objective of shifting away from fee-for-service payment.

Getting to Yes on Transatlantic Trade

by Renewing America Staff

The United States and the European Union should create a new global regulatory blueprint through the just-launched Transatlantic Trade and Investment Partnership (TTIP) negotiations, CFR Senior Fellow for Global Health, Economics, and Development Thomas J. Bollyky and Columbia Law School’s Anu Bradford write in their new Foreign Affairs article, “Getting to Yes on Transatlantic Trade.” In an era of global supply chains, disparate and overlapping regulatory policies are the central hindrance to greater trade between the U.S. and the EU. If TTIP negotiators focus on sectors in which the two share similar trade and regulation goals, the agreement could serve as a necessary foundation for future transatlantic and global trade cooperation.