Author Archives: John McDonough

About John McDonough

I offer insights and opinions on how to improve health care systems for everyone

A Bipartisan “What’s Next” for U.S. Health Reform

[This past week, I was one of the co-authors of a consensus policy paper on short-term steps that would stabilize the ACA health insurance marketplaces and address some other urgent health policy priorities such as reauthorization of the Childrens Health … Continue reading

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Why the Republican Repeal and Replace Plan Collapsed — and Cautions for Dems

[This commentary appeared on July 18 on the WBUR blog page called Cognoscenti.] As the nation considers the utter collapse of the Better Care Reconciliation Act (BCRA), advanced by Senate Majority Leader Mitch McConnell, to repeal and replace the Affordable Care Act (ACA), … Continue reading

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5 Takeaways from Baker’s New Health Reform

[This commentary was published on June 24 on the Commonwealth Magazine website.] PHASE 2 OF THE BAKER ADMINISTRATION’S ambitious health reform agenda emerged this past week.  It contains good and smart proposals – and worrisome ones needing attention. Phase 1 … Continue reading

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Finding Health Reform Principles across Party Lines

[This op-ed appeared in today’s Wall Street Journal and was composed by 8 health care experts from across the right-left political divide: Sara Rosenbaum, Gail Wilensky, Ron Pollack, Lanhee Chen, John McDonough, Grace-Marie Turner, Stuart Butler and Joe Antos. [The … Continue reading

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The State of Play in the US Senate

[This commentary was just published in the May 31st New England Journal of Medicine.] The acid test of any nation’s health care reform happens with a change in national administration. Only when a president or minister who instigated reform departs … Continue reading

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MayDay! The ACA Is Still Alive and Still in Danger

Today is May Day and the ACA is still alive.  Donald Trump’s campaign boast that he would sign a bill repealing the Affordable Care Act (ACA/ObamaCare) on his inauguration day is long gone and forgotten.  House Speaker Paul Ryan and … Continue reading

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A Republican Path to ACA Reform

[This commentary, written by me and Dr. William Seligman of the Harvard Chan School, was published today on the Commonwealth Magazine website.] IF PRESIDENT DONALD TRUMP and Congressional Republicans were to decide that fixing rather than destroying the Affordable Care … Continue reading

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MassHealth Dives into Accountable Care

[I wrote this commentary for the Spring Issue of Commonwealth Magazine to profile Massachusetts’ new move into accountable care organizations, an experiment that deserves watching.  Dr. William Seligman co-wrote with me.] IN A WILDLY uncertain national health care environment, something … Continue reading

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Health and Taxes and the Values at Stake in the ACA Debate

[This commentary was published this week on the website of the Milbank Quarterly.] One of my favorite political scientists, Deborah Stone, wrote that much of the policy process involves debates about values masquerading as debates about numbers and facts.1 Although … Continue reading

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The State of Play Post-Trump/RyanCare

[This column is reprinted from the Commonwealth Magazine website.] GLOBAL HEALTH EXPERT Michael Reich says that the acid test of any national health reform comes when a new national administration takes over. Only when a new president or prime minister … Continue reading

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