Joseph D. Coletti
Joseph Coletti is Fiscal Policy Analyst at the John Locke Foundation, an independent public policy organization in Raleigh, North Carolina. He has served as editor of newsletters and briefing books on the Japanese economy and U.S.-Japan relations. Coletti led marketing research and forecasting projects with J.D. Power and Associates in Detroit and Tokyo. He also served as Director of Policy and Communications for the U.S. – Japan Business Council in Washington, D.C., before joining the Locke Foundation. Coletti received a bachelor’s degree from the University of Michigan and a master’s degree from the Johns Hopkins University Paul H. Nitze School of Advanced International Studies.
Friday, September 12, 2008MedMal stats onlineBy Joseph D. ColettiCategories: Medical Malpractice, North CarolinaThe Winston-Salem (NC) Journal has an editorial today supporting the N.C. Medical Board's decision to post "medical malpractice payments of more than $25,000 made by physicians and physician assistants after Oct. 1, 2007. Also available will be information related to any criminal convictions of the doctor or assistant and any disciplinary actions taken against them by the medical board here or in another state." We can hope this will help patients make more informed decisions and start defining the problem for future attempts at reform.
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Friday, September 12, 2008State Mental Hospitals are DangerousBy Joseph D. ColettiCategories: Medicaid, North CarolinaNorth Carolina could lose as much as $1.8 million a month in funding from the federal Center for Medicare and Medicaid Services (CMS). The federal government warned the state six times over the past 13 months that it had unsafe conditions in its mental hospitals, and Cherry is the second state mental hospital to lose its federal certification.
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Friday, September 5, 2008Palin vs. CON in AlaskaBy Joseph D. ColettiCategories: Alaska, Certificates of Need (CON)A Washington Post story examines Gov. Palin's efforts to end Certificate of Need (CON) laws in Alaska. Nice to know a governor somewhere gets it.
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Friday, August 15, 2008CONned againBy Joseph D. ColettiCategories: Certificates of Need (CON), North CarolinaHospitals create jobs, but instead of government subsidies, they face more hurdles.
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Thursday, August 7, 2008Massachusetts Gets It Wrong AgainBy Joseph D. ColettiCategories: Individual Mandates, MassachusettsAccording to governing.com, Massachusetts is trying to cut health care costs with "a commission to develop uniform billing and coding standards for health care providers and insurers," statewide adoption of electronic health records by 2015, and expanded enrollment at UMass med school plus incentives for graduates to go into primary care. Still nothing on reducing mandates or other market-based reforms, just new ways for the government to intervene and increase spending in other areas of government.
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Tuesday, August 5, 2008The Cure for Government Intervention...is more government intervention By Joseph D. ColettiCategories: Long-term care, North Carolina, Single-Payer FolliesA true tale of love from Durham, NC, where an 80-year-old retired truck driver sold his house to cover $15,000 in debt from treatment of his wife's fatal cancer, is being used to justify expansion of the overburdened program and its taxpayer funders. An editorial in the Raleigh News & Observer makes clear just how high the hurdle is in some circles to a clear understanding of the causes and solutions, "there is little choice but further government intervention, not just with more investment (yes, taxes that cover Medicare will have to increase, helping to spread cost burdens) but in negotiating costs with drug companies and providers."
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Friday, July 18, 2008Preventive Care Still Expensive PolicyBy Joseph D. ColettiCategories: Individual Mandates, Insurance Regulation, Medicaid, Nanny State, North CarolinaIt's always nice to have new research back you up.
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Friday, July 18, 2008State Health Plan BailoutBy Joseph D. ColettiCategories: North CarolinaThe State Health Plan for teachers and state employees in North Carolina has gone from an expected $50 million surplus this year to a $200 million deficit in the last couple weeks. Legislators, on a bipartisan basis, are trying to salvage it by jeopardizing the last fig leaf of fiscal responsiblity in the budget they passed last weeek. Read more on the fiasco here, here, and here. UPDATE: Legislators have decided not to decide and just go home.
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Friday, July 18, 2008Ambulance-chasing for OrgansBy Joseph D. ColettiCategories: Nanny State, New York, North CarolinaI go rounds with my colleague Donna Martinez on the value of creating a market for organs. She likes presumed consent - opting out of donations instead of opting in - which strikes me as coercive. I favor allowing people to sell their organs instead of donating them, she thinks that devalues life. We do agree, however, that a new program she described in a recent column and that could start this year at Bellevue Hospital Center in Lower Manhattan is repulsive and raises questions about when a person is really dead.
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Tuesday, June 3, 2008RomneyCare EvaluatedBy Joseph D. ColettiCategories: Individual Mandates, Insurance Regulation, MassachusettsThe Massachusetts health insurance experiment cut the uninsurance rate among working-age adults to 7 percent in fall 2007 from 13 percent in fall 2006 according to a new survey published in the journal Health Affairs. More people have sought medical care and fewer people face high out-of-pocket costs. But USA Today reports that the cost continues to grow. Nearly 100,000 people were fined for not purchasing insurance. The program already costs $245 million more than originally expected and rising. "Lawmakers are hoping to close the gap in part with a new dollar-per-pack cigarette tax." Without changes to make health insurance more affordable similar to those in New Jersey or Florida, the Massachusetts program's popularity will rapidly fade as costs continue to climb.
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