Commentary

The Kansas Health Institute was created to provide timely, reliable and unbiased information to policymakers and the public.
We’ve done that for years in research reports and issue briefs and more recently in KHI News Service articles.

Now, we want to offer this page and the rest of our website as a venue for respectful exchange of ideas and perspectives. We will feature columns and blogs from various contributors of differing views.

And you will find throughout the site opportunities to comment on news stories, research reports, op-ed pieces and other posted items. Unlike some websites, however, we will not allow anonymous posts by readers. We believe people are more thoughtful and respectful when their names are attached to their words. So, we urge you to register, read, react and contribute to the lively discussions surrounding health policy.

Featured Columns

When Government Worked for Kansas

When Government Worked for Kansas

0 | Commentary

For many generations, Kansans were governed by experienced, educated and thoughtful people who realized the great difference that government had made in their lives. The people elected to office had known lives before a time of new and noble purpose. They had come through a civil war, a panic, a great depression and two world wars. They saw the need for a government. It could not go away.

Medicaid and commercial insurance: A tale of two markets

Medicaid and commercial insurance: A tale of two markets

0 | Commentary

Shortly after the ACA was enacted, there was a great deal of talk about how states could leverage their joint purchasing power in an expanded Medicaid program and a robust health insurance exchange to drive improvements in health care delivery, yielding better value. Somehow this notion has been lost in the intervening years — it's time to restart the conversation.

Praeger: World of health insurance is about to change

Praeger: World of health insurance is about to change

0 | Commentary

In five months, the world of health insurance in Kansas will change. For some of you, that will be maddening. For other Kansans, it will be welcome relief. They have suffered through the worries of being uninsured during the past recession years, and they will now have a method of providing insured health care for themselves and their families.

A New Confederacy

2 | May. 18, 2013 | Commentary

Over the five decades leading to a new millennium, state government in Kansas had assumed a rhythm of reform and advancement. Today it thrums with the drone of demolition.

The ’80s, Carlin’s Legacy and Beyond

0 | May. 17, 2013 | Commentary

The 1980s and 1990s were the last decades of significant and compelling reform in Kansas. The legislative agenda seemed dominated by Democrat Gov. John Carlin but he could not have seen through reforms without help from Republicans and their leaders.

When Government Worked for Kansas

0 | May. 16, 2013 | Commentary

For many generations, Kansans were governed by experienced, educated and thoughtful people who realized the great difference that government had made in their lives. The people elected to office had known lives before a time of new and noble purpose. They had come through a civil war, a panic, a great depression and two world wars. They saw the need for a government. It could not go away.

Medicaid and commercial insurance: A tale of two markets

0 | May. 07, 2013 | Commentary

Shortly after the ACA was enacted, there was a great deal of talk about how states could leverage their joint purchasing power in an expanded Medicaid program and a robust health insurance exchange to drive improvements in health care delivery, yielding better value. Somehow this notion has been lost in the intervening years — it's time to restart the conversation.

Praeger: World of health insurance is about to change

0 | May. 01, 2013 | Commentary

In five months, the world of health insurance in Kansas will change. For some of you, that will be maddening. For other Kansans, it will be welcome relief. They have suffered through the worries of being uninsured during the past recession years, and they will now have a method of providing insured health care for themselves and their families.

Pompeo letter: Obamacare is a “Train Wreck”

1 | Apr. 23, 2013 | Commentary

Unlike you, Senator Baucus, the American people have opposed this law from the moment it was first introduced in Congress. How hard was it to see that even the smartest government bureaucrats can’t competently plan something as complicated as America’s health-care sector?

KanCare offers new hope for Kansas’ poorest adults

0 | Apr. 19, 2013 | Commentary

Oral health care is of critical importance for all Kansans, and we believe one of the keys is ensuring people have a way to pay for dental services. A ray of hope emerged when the state of Kansas selected KanCare contractors that offer a preventive dental benefit for the poorest adults in Kansas.

More choice doesn't always lead to a better choice

1 | Apr. 15, 2013 | Commentary

How much competition do we need in exchanges? The right answer isn't always or simply "more" even if it is "more than we have now." The story, as always, is more complex than that.

Six months to go: Will the exchanges be ready on time?

0 | Apr. 08, 2013 | Commentary

That continues to be the big question as the Obama administration continues its top secret effort to build federal insurance exchanges in about 34 states while 16 states are doing it on their own. The lack of transparency has the health insurance industry very worried.

New map reveals a shocking pattern of female hardship

0 | Apr. 04, 2013 | Commentary

There is a frightening figure in a recent article in Health Affairs — a map depicts a shocking pattern of female hardship, primarily in the southeast and midwest. In southern states, just about every county showed worsening female mortality; while no county showed such decline in New England.

Where does the Arkansas bandwagon lead?

0 | Apr. 02, 2013 | Commentary

As additional states consider adopting Arkansas' proposed approach of placing its Medicaid expansion enrollees into the state's health insurance exchange, I started wondering where this all leads. Can we blend two very different types of market forces? Which providers will participate in an exchange that also includes Medicaid enrollees? Who needs the states anyway?

Sister Therese: Keep tax credit for low-income families

0 | Apr. 01, 2013 | Commentary

Those receiving the earned income tax credit are usually younger working families who are not homeowners. My experience says that these working parents are most often working full time in jobs that pay $20,000 to $35,000 a year. Typically these are not jobs that pay mileage or have expense accounts. The $300 refundable credit allows these parents to make car repairs or get new tires, pay off credit cards and medical bills, and buy their children new shoes.

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