• Research Report

    An Alternative Budget: Response to the governor’s proposed budget for the upcoming biennium

    posted May 17, 2015 by Research Staff
    The John Locke Foundation is continuing its tradition, started in 1995, of offering an alternative to the governor’s budget recommendation. Consistent with prior years, this JLF budget focuses on core government. This budget spends less in both years of the biennium than the governor’s, and only increases spending by 2 percent from the last fiscal year.
  • Research Report

    State Budget Overview: Teacher compensation and Medicaid drive the 2014-15 budget

    posted August 19, 2014 by Sarah Curry, Dr. Terry Stoops
    For fiscal year 2014-15, North Carolina’s General Fund budget rose 2.2 percent to $21.1 billion. It funded an average teacher salary increase of 7 percent, one of the largest pay raises for North Carolina teachers in a generation, and created a Medicaid contingency fund of $186.4 million.
  • Research Report

    The Mechanics of Medicaid: How Medicaid’s flawed financial design drives program costs

    posted July 29, 2014 by Katherine Restrepo
    Medicaid’s fundamental flaws stem from the way in which it is funded, as both state and federal government share the total bill. If Medicaid’s federal share was transferred to North Carolina as an annual block grant, it would allow lawmakers to exercise more control over the program and create a stronger incentive to sort out system waste and abuse.
  • Research Report

    Agenda 2014: A Candidate’s Guide to Key Issues in North Carolina Public Policy

    posted June 1, 2014 by Research Staff
    Every two years since 1996, coinciding with North Carolina's races for the General Assembly, the John Locke Foundation has published a revised edition of Agenda, our public policy guide for candidates and voters. Typically as we enter the campaign season, candidates for public office in North Carolina are faced with a daunting task: to develop informed positions on dozens of public policy issues. In the pages of Agenda 2014 we provide a concise and easily digestible guide covering a wide range of specific issues, from taxes and spending to energy policy and education.
  • Research Report

    Reforming North Carolina’s Medicaid Program

    posted May 8, 2011 by Brian Blase, C.L. Gray
    Medicaid is a national problem, not just a state problem. All states are faced with the same incentive to grow their Medicaid programs because of the federal match. Unsustainable Medicaid spending is exacerbating the debt crisis at the federal level. It is paramount that state policymakers put pressure on Washington to reform Medicaid and willingly trade the open-ended federal reimbursement of state spending for freedom from federal roadblocks to make common-sense reforms to their programs.
  • Research Report

    Repair and Reform Medicaid: Even more essential under ObamaCare

    posted March 22, 2011 by Nicole Fisher, Joseph Coletti
    North Carolina has one of the most expensive Medicaid programs in the Southeast, and Obamacare will expand enrollment from 1.3 million people to potentially over 2 million people in 2014. Without Medicaid reform or tighter eligibility, North Carolina will need to cut some services and payments to doctors. Both options will mean worse care for every person on Medicaid. Gov. Bev Perdue and the General Assembly need to push Washington for exemptions from Medicaid restrictions and greater ability to innovate with premium support and encourage patient control of their own care.
  • Research Report

    Deregulating Health Insurance and Health Providers in North Carolina

    posted August 24, 2010 by Joseph Coletti
    North Carolina policymakers should eliminate provider licensing, certificate-of-need laws, and mandated health insurance benefits. Short of this, the state can accept alternative forms of credentialing and ensure consumers have the right to purchase optional benefits at additional cost. These regulations limit access to health care providers and health insurance by artificially constraining markets.

health care by Author