by Tom aka Rusty Rustbelt Health Care Thoughts: Health Exchange Delay The Obama administration has delayed the decision point on state health exchanges until December 14th. Much of the discussion…

by Tom aka Rusty Rustbelt Health Care Thoughts: Business Model Angst For the past two months I have been absorbed more so than usual in health care strategic and regulatory…

by Tom aka Rusty Rustbelt The Unemployment Tax Dilemma When the economy is doing well employers pay both state and federal (backup system) unemployment taxes. The rates tend to be…

…was noble, but the bill was flawed nevertheless. Sen. Tom Coburn of Oklahoma said the federal government already has six job-training programs for veterans and there is no way to…

by Tom aka Rusty Rustbelt Health Care Thoughts: Hospital Job Cuts and Job Gains I have been spending a great deal of time lately communicating with health care experts far…

by Tom aka Rusty Rustbelt Health Care Thoughts: Book Review There has been a lot of buzz about a book published on September 18th. (Dan here..See here for one buzz)…

by Tom aka Rusty Rustbelt Health Care Thoughts: PPACA Penalty/Tax The Congressional Budget Office predicts in 2016 up to 6 million largely middle income workers will pay the PPACA “tax”…

Nick Turse at Tom Dispatch reminds us amid the election flurry… Secretary of State Hillary Clinton was unequivocal in her condemnation. “We have confronted the Russians about stopping their continued…

From Center of Budget and Policy Priorities using CBO numbers: Ezra Klein explains each color and quantity. Tom Blumer explains how you do not have to look at it if…

Lifted from Robert’s: Mr Smith from Washington has a lot of trouble with the concept of consent. Maybe this is because when he says “no” he really means “yes”. “TOM…