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AEI's weekly digest of top commentary and scholarship on the issues that matter most

A Little-Known Provision Stifling Competition

Obamacare’s Ban on Physician-Owned Hospitals

February 25, 2023

In 2010, the Affordable Care Act effectively banned the growth of physician-owned hospitals by cutting them off from Medicare. According to Sen. James Lankford (R-OK) and Brian J. Miller, ending this prohibition now would introduce competition into the hospital market, in turn creating jobs, fostering innovation, and improving health care access.

 

 

China’s naval influence in the Middle East is growing and likely to persist, warn Blake Herzinger and Ben Lefkowitz. While the current presence is not yet enough to match Beijing’s regional ambitions, Herzinger and Lefkowitz say increasing Chinese diplomatic engagement and naval deployments in the region demand American attention.

 

Sally Satel criticizes the prevalent practice of “social-justice therapy,” which sees therapists as activists overturning the racial oppression of their patients. “Highly questionable practices can harden into professional orthodoxy and conflict with what is best for patients,” writes Satel.

 

Ian Rowe challenges the common use of racial and economic achievement gaps in setting educational standards. Pointing to five decades of failure in improving student outcomes, Rowe contends that educators should instead concentrate on helping 100 percent of their students reach grade-level proficiency.

 

Section 230, which shields online platforms from civil liability over the third-party content they host, faces its biggest constitutional hurdle in the pending Supreme Court case Gonzalez v. Google. Daniel Lyons reports his observations and expectations from the case’s oral arguments before the Supreme Court on February 22.

 

A 21st-Century SNAP: Considerations for the 2023 Farm Bill

In a new report, Angela Rachidi outlines how lawmakers could improve the Supplemental Nutrition Assistance Program (SNAP) in the 2023 Farm Bill. Since federal legislation created SNAP, formerly known as food stamps, in 1977, the program has grown considerably—especially in the past 20 years amid policy changes during the Great Recession and the COVID-19 pandemic. Yet major questions still abound about its efficacy in promoting good nutrition, encouraging work, and even reducing hunger. Rachidi proposes several reforms to promote better nutrition, strengthen SNAP’s support for work, and improve the program’s targeting and integrity. In conclusion, she argues that SNAP’s negative consequences, including employment disincentives and its role in poor nutrition, may outweigh its benefits if not addressed.

 

 

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QUOTE OF THE WEEK

The road to adopting the Reagan program and changing America was paved with bitter compromises. If perfection is what you’re after, then running for Congress was the wrong decision. I never wrote or voted for any major legislation that didn’t contain something I opposed. If you can’t compromise, you can’t legislate or govern

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