• Stuck behind the Medicaid eight ball.  Washington Times.  Gary D. Alexander:  May 31, 2013

When setting up Medicare as a parallel “earned benefits” program to Social Security in 1965, Congress tacked onto the legislation — like an insurance rider — a secondary provision to help existing state programs provide medical assistance to a very small population: America’s most helpless and destitute. Dubbed Medicaid, the intended backup plan has instead mushroomed into the most costly and cumbersome “means-tested” welfare program and single most important driver of state spending and federal deficits, representing more than 25 percent of all U.S. health care expenditures….Click here to read on

  • Fix Bloated Welfare System.  Philadelphia Inquirer. Gary D. Alexander: May 22, 2013

Seventeen years ago this August, President Bill Clinton signed into law Temporary Assistance for Needy Families (TANF), an antipoverty initiative involving “block grants” to the states that replaced the nation’s formerly open-ended cash-welfare program. Hailed as a breakthrough, the 1996 legislation contained a provision that disqualified noncitizens from program eligibility unless they had lived in the United States for at least five years.  Click here to read on

  • Private sector can help disabled. Patriot News. Gary D. Alexander: October 11, 2012

When he signed the Americans for Disabilities Act in 1990, President George H. W. Bush promised the legislation would “mainstream” Americans with disabilities, allowing them to achieve employment and live as independently as possible. Click here to read on


  • The Challenges Facing Pennsylvania in Implementing the Affordable Care Act.  House Committee on Energy and Commerce, Subcommittee on Health: December 13, 2012
  • Welfare’s Failure and the Solution.  The American Enterprise Institute.  Gary D. Alexander: June 2012