A Right to Connect: Why Every American Household Should Have Legally Guaranteed Access to the Internet

 Introduction

In 1934, the United States passed the Communications Act, a landmark piece of legislation that aimed to ensure "to all the people of the United States, a rapid, efficient, Nation-wide... wire and radio communication service." Over time, this commitment evolved into what became known as universal service—the legal requirement that every American household have access to affordable telephone service. This policy catalyzed economic development, enhanced public safety, connected rural areas, and strengthened American democracy.

A Balanced Prescription: Expanding U.S. Government Healthcare Price Negotiation While Protecting Access and Providers

 Introduction

The United States spends more per capita on healthcare than any other nation, yet ranks poorly on many key health outcomes such as life expectancy, maternal mortality, and chronic disease management. At the heart of this paradox lies a fragmented system riddled with price opacity, inefficiencies, and extreme cost variation. One of the most consequential levers to address this dysfunction is expanding the U.S. government's ability to negotiate healthcare prices—beyond prescription drugs and into services and procedures.