Santee Cooper’s Uncertain Future

Energy
March 20, 2018

A Historical, Policy, and Financial Analysis of the South Carolina Public Service Authority This is the executive summary of a larger report. Download the full report here (49 pages). As the sheer magnitude of the V.C. Summer Units 2 and 3 nuclear abandonment, the largest financial disaster in South Carolina history, comes more into focus,

Direct Primary Care: “Innovating Backwards”

Healthcare
April 28, 2017

What is Direct Primary Care? According to Dr. Jerome Aya-ay, a family-medicine physician with offices in Greenville, Spartanburg and Columbia, Direct Primary Care (DPC) is very simple: “It is a relationship between a patient and their physician.” For a flat, monthly fee (often called membership dues), patients receive preventative and diagnostic medical care. Unlike some

Unwinding the Worst of Obamacare: Why Congress Must Rescind ACA’s Massive Medicaid Expansion

Healthcare
January 19, 2017

Executive Summary Given the focus on the disastrous launch of the Obamacare insurance Exchanges in 2013, many people don’t know that most of Obamacare’s coverage gains have come not through those Exchanges, but through a new expansion of Medicaid to able-bodied, working-age adults. Medicaid was originally intended to provide important safety net coverage to vulnerable