Policy Report

“Keep your eye on one thing and one thing only: how much government is spending, because that’s the true tax. … The thing you should keep your eye…

Introduction Public-sector unions are central to some of the most contentious public policy issues in contemporary America. Do unions improve or impair the political process and elections? Do police…

Introduction The Affordable Care Act (ACA), sometimes referred to as Obamacare, gave states the option to expand the Medicaid program to include non-elderly adults up to…

Executive Summary Donor privacy protects our expressive rights, especially with regard to matters of public policy. Unfortunately, entrenched political interests have often successfully undermined that protection by forcing policy…

Gov. Roy Cooper’s COVID-19 statewide shutdown order has pushed North Carolinians online for everything from family gatherings to shopping and education. But the COVID-19 pandemic has also showcased the power…

Executive Summary North Carolina’s Teachers’ and State Employees’ Retirement System (TSERS) is widely recognized as being among the nation’s healthiest pension plan systems, currently almost 90 percent funded at a…

North Carolina has reduced tax rates in four of the last six years while building its savings to the highest level in history. We present seven traditions, institutions, and processes…

Abstract North Carolina is one of 18 states that do not have a telemedicine parity law, which forces insurance companies to pay health care providers for services treated via…

An increased use of the innovative health care delivery model called Direct Primary Care could lead to better outcomes for treatment of patients with chronic diseases, and that could mean…

“Green” school buildings in North Carolina fall far short of their promises to protect the environment through lower energy costs and increased efficiency.