RealClearPublicAffairs is a new series of sponsored curation designed to provide coverage of important and trending public policy issues. It's a deep dive into curated content that we think will engage our audience and deepen their understanding of topical concerns facing our nation's decisionmakers.

In the days and weeks ahead, Reimagining Healthcare will examine the healthcare issues impacting the 2022 Mid-Term Elections: Certificate-of-Need laws hindering innovation; price controls on prescription medicines threatening access to new cures; and proposals putting Medicare in jeopardy. Expect a civil, yet, spirited discussion on the most pressing health policy topics being debated in Congress and State Houses across the country. 

We are at the three-year anniversay of the Covid-19 pandemic and those in power still can’t "string enough common sense together". This week in Reimagining Healthcare we look at how a one-size-fits-all approach to Covid is bad for patients and public health. 

What does ‘Reimagining Healthcare’ mean? It’s simple, really.

A reimagined healthcare system puts patients first and equips medical professionals with the most advanced tools to save and improve the lives of the American people. Innovation, invention, and modernity are the keys to medical progress; to new cures and novel therapies; to healthier lives.  

America is built on progress, and this is true across all sectors, especially in healthcare, medicine, and science. However, the Covid-19 pandemic exposed a tragic reality: America’s healthcare system – your healthcare system – is undermined by too much bureaucracy and red tape that prevents doctors, nurses, and medical researchers from helping people.


Our healthcare system requires innovation. The arrival of the next pandemic as serious as Coronavirus is a matter of when, not if, and it could come from any corner of the globe. What we know for certain is that we cannot fight tomorrow’s pandemic or find a cure for cancer or reform our healthcare system by moving in reverse. We must examine, and reimagine, how we govern and regulate healthcare in America.   

In response to the Covid crisis, state and federal authorities removed many of the bureaucratic barriers that stood in the way of doctors, nurses, and researchers doing their jobs.

  • Telemedicine restrictions were waived to allow safer doctor visits from home.
  • Researchers were allowed to develop better and faster tests and market them outside the government system.
  • Licensing laws were suspended, giving medical professionals the ability to work where they were needed most.
  • And restrictions on hospital beds and equipment were lifted.

The result? American lives were saved.

What’s more, the success of Operation Warp Speed in bringing a Covid-19 vaccine to market in a 10-month span is a medical miracle performed by an unprecedented public/private partnership. America’s innovative bio-pharmaceutical industry went to work as government cleared the way of burdensome rules and regulations. What usually takes up to ten years, America’s innovative pharmaceutical sector accomplished – the design and testing of a new vaccine – in less than ten months. Nothing short of remarkable – miraculous really – in the history of science and medicine. 

We cannot go back to bureaucratic slowdowns and regulatory barriers. Advancing backwards is not progress. We must reimagine America’s healthcare system to be innovative and patient-centered.

A Reality Check on How We Handle Covid-19 Risks

Covid-19 is still with us. Cases are rising in Europe and to a smaller extent in this country. But the fact that SARS-CoV-2, the virus that causes COVID-19, has become endemic, does not mean the sky is falling.

Little-known Laws Amplifying our Struggle with the Delta Variant

As the Delta variant surges across the country, Hawaii has run into a dire problem: A shortage of hospital beds, which could force providers to ration care.

OSHA’s Vaccine Mandate Overkill

Covid cases and hospitalization have blessedly plunged since the summer Delta surge as more Americans have been vaccinated or acquired natural immunity.Yet the Biden Administration is still fighting the last virus war, and on Thursday rolled out its worker vaccine mandate, which will likely do more harm than good.

CON Laws Amplifying our Struggle with the Delta Variant

In 1974, Congress mandated states establish certificate of need (“CON”) laws to receive federal health care funds.

Prof. Jay Battacharya: I stand by the Great Barrington Declaration

The Stanford professor offers his reflections on the pandemic

Full Replay: President Biden Delivers Update On COVID-19 Response, Vaccinations

President Biden speaks about the FDA's official approval of Pfizer's COVID-19 vaccine.

What is Reimagining Healthcare?

RCHealth's Jerry Rogers w/ AFP's Dean Clancy on Reimagining Healthcare

HHS Secretary: "It Is Absolutely The Government's Business" Who Is Not Vaccinated

Health and Human Services Secretary Xavier Becerra said Thursday it was "absolutely the government's business" to know who is and is not vaccinated and defended a White House statement that the administration would go "door to door" to get people vaccinated.


The American republic rests upon the foundation of “E Pluribus Unum” — out of many, one. Although the Founders knew from their own experience that a vast diversity in outlooks and opinions would be present among the country’s citizens, they understood that such diversity must rest upon principles and practices we hold in common. It is up to each generation to make sure that this foundational unity remains intact. This project on American Civics seeks to contribute to that worthy cause.(((break)))

These pages will bring together, into one place, the clearest, most accessible materials on the American experiment. Visitors will gain insight into topics ranging from the “self-evident” truths described in the Declaration of Independence and the framework that the Constitution set in place to prevent tyranny and secure rights and liberties to the virtues citizens must possess in order to enjoy freedom and self-government. Nor will we shy away from exploring the greatest injustices in U.S. history, including slavery and racial discrimination. Present at the Founding, they were departures from the nation’s founding principles. Neither this paradox, nor these injustices define America, however. Rather, it is on the basis of those principles that they are rightly condemned—and ultimately addressed.  

Users will also find the 1776 Series: a collection of accessible essays written by scholars that explore how the American Founders understood themselves and the system of government they implemented. These essays will give readers a clear and concise understanding of important American themes, such as the republican nature of the U.S. Constitution and Abraham Lincoln’s deep appreciation of the moral foundations of American self-government. These pages will also curate modern thinking on topics such as balancing the desire for security with the innate American impulse for individual freedom; the challenge of preserving judicial independence in a polarized political environment; how to simultaneously foster intellectual curiosity and tolerance among a generation ready to take democracy’s baton and run with it.

RealClearPublicAffairs is a new series of sponsored curation designed to provide coverage of important and trending public policy issues. More About

1776: Out of Many, One

It is a great honor to be here to receive the Philip Merrill Award from ACTA. For a number of years, I have been on the nominating...

In Defense of Citizenship

It is hard to dispute the claim that the United States is a political and social order in the midst of an immense crisis. The old...

Revisiting The 1619 Project's Troubled Past

Nikole Hannah-Jones has just published an augmented and greatly extended version of “The 1619 Project,” The 1619 Project...

Liberal Education and Liberal Democracy

Bottom Line: Professor Jenna Silber Storey argues that liberal education rightly understood can help students choose well among...

Noncitizen Voting Doesn't Pass This Test

The New York City Council’s recent decision to give some 800,000 noncitizens the right to vote might, on the surface, seem just and appropriate. After all, those legal city residents...

The 1619 Project's Egregious Errors

Amid a national debate over history curricula and the importance of racism and slavery in shaping the American past, The 1619 Project...

The Two Party System

Americans often take issue with our two-party system. So what other options are out there? Today, with the help of political...

Democracy in America

In January, 1835, the first volume of a book named Democracy in America was published inParis. It was a great critical and...

We Are All Americans

At the conference, Braver Angels' National Ambassador, John Wood, Jr., explored the responsibilities we have to each other...


Kalev Hannes Leetaru explores how the intersection of technology, traditional journalism, and social media are changing the foundations of modern society in ways that both strengthen and threaten the foundations of democracy.

These ways include: the increasingly blurred lines between mainstream and social media, professional and citizen journalists; the erosion of free speech as the public square is privatized by social media companies, while the vibrant free exchange of ideas that empowers democracy is replaced by an ever-narrowing concept of “acceptable speech” as defined by Silicon Valley; the centralization and coastal urbanization of both mainstream and social media and the resulting consolidation of narratives and loss of diverse local perspectives; the entrenchment of unaccountable fact-checkers with power to determine what is regarded as true and what is prohibited as falsehood; the rise of “stealth editing,” allowing news outlets to banish their mistakes to the digital memory hole; and the accelerating impact of AI on content moderation.

Most of us understand that these trends are changing our societal landscape, yet we understand too little about their transformative impact on democratic societies.

RealClearPublicAffairs’ Technology & Media: Can Democracy Survive is designed to explore these fundamental questions through critical assessments and pioneering new forms of data journalism that rely on hard numbers and deep analysis rather than anecdotes and opinion pieces. Powerful data-driven visualizations for a visual-oriented modern world are coupled with cutting-edge data analyses to sift out the often-counterintuitive reality of today’s technology and media landscapes and offer clues as to where we are heading.

Four key themes drive this discussion:


Modeling the Media Landscape. How might data-driven quantitative assessment of the media landscape help the public, policymakers, and journalists themselves better understand the lens through which they view the world?

Data-driven analyses explore how the media are covering today’s most pressing issues, from highlighting stark differences in framing, narration and agenda-setting, to uncovering hidden trends. Such insights make it possible to examine big-picture questions like the structure of the global media ecosystem and how it affects the flow of ideas and narratives.

From global-scale network analyses of how the linguistic and emotional framing of stories affect their media coverage to examinations of trends in how the media talk about key societal issues, these explorations use data to shed light on the lens through which the public sees the world.

Quantifying The Fact-Checking Landscape. From their origins as urban myth debunkers, fact-checking sites have begun to wield unprecedented power over the modern digital landscape, deciding what constitutes truth and falsehood.

Little is known about the internal operations of these sites, from their rater guidelines to how they evaluate claims. Only by shining light onto the opaque world of these ultimate arbitrators of reality can we help the public, press, and policymakers understand the subjective reality of fact-checking that lies beneath its scientific veneer.

Broadening Public Understanding of Social Platform Influence. Social media platforms wield extraordinary power over public discourse, deciding what we see and say and even what constitutes acceptable speech.

Yet the public and even policymakers themselves have little understanding of how the policies and decisions of social platforms are affecting the public square and the free exchange of ideas that underpins democracy.

Exploring New Approaches To Understanding The Global Agenda. Finally, how might datasets that have not historically been used to understand the global narrative lend new insight into how media shape our understanding of the world?

The limited airtime of broadcast television forces its editorial decisions to the forefront, making it one of the most valuable mediums through which to compare disparate media agendas; the digital correlate to such editorial oversight is the news homepage, on which only a small fraction of the myriad articles published are linked over the course of each day.

Reconstructing these editorial choices offers insights into the editorial decision-making process of news in the digital era and the degree to which media outlets, in the click-first environs of today, favor stories that stoke societal divisions over those that bring people together or create an informed citizenry.

Similarly, digital news emphasizes ephemerality: an article can be rewritten in real-time as new information arrives, disputed facts are resolved, or editorial considerations require changing the tone. Articles may be rewritten beyond recognition or simply deleted.

How can new forms of media data, from television and news archives to new methodologies like AI, help us see the news in new ways?

The State Solutions page empowers citizens, policymakers, and communities to develop and share practical solutions to today's problems by promoting the best research, analysis, and stories from all 50 states. 


Local communities and leaders are best positioned to meet the day-to-day needs of 330 million Americans. The work of building a business, educating children, and taking care of neighbors cannot and should not be left to Washington, DC. America has flourished because of its individual rights and the strength of its communities.

The solution to the problems facing Americans is not an ever-expanding federal government but a restoration of the individual rights and local governance that have made America a beacon of hope for millions around the world.

RealClearPublicAffairs is a series of sponsored curation designed to provide coverage of important and trending public policy issues. More About

For democracy to work, the electoral process must engender widespread trust. Yet public opinion surveys show that significant segments of the losing side in a presidential election lack faith in the integrity of the process. Only one-third of Republican voters believe that the 2020 presidential election was “free and fair.” After the 2016 contest, a smaller, but still significant, group of Democrats—28 percent—expressed skepticism that the votes had been counted accurately. Moreover, overall confidence in the fairness of U.S. elections has been falling for more than a decade.(((break)))

This is unsustainable. Self-government depends not only on voters’ confidence in the election process, but on the absence of actual vote fraud and other election failings. These shortcomings range from inequitable barriers to registration and voting to miscounted votes, confusing election rules, deficient technology, poor training, and manipulation of the voting process by one or both of the United States’ two dominant political parties. Addressing these deficiencies is a tall order, but one essential step in restoring Americans’ faith in their own institutions. As sociologist Zeynep Tufekci writes:

There’s a tendency to assume that widespread public mistrust is unfixable, that those people are not reality-based and so there’s nothing to be done. But mistrust—including the kind that’s deliberately fostered—does not thrive in a vacuum. Fixing what we can, and creating processes that are designed to resist efforts to cast doubt, is the right thing to do.

This page, which curates research, commentary, and analysis, seeks to support serious dialogue and debate on reforms to restore faith in U.S. elections and assure their integrity.

Free speech, freedom of association, viewpoint diversity, and open inquiry--these principles are essential to the educational mission of the university, and to the health of civil society.

RealClearPublicAffairs' Free Speech on Campus page is designed to be the leading online forum where conversation on these critical issues can take place.


In 1974, Yale University published a document officially titled the Report on the Committee of Free Expression at Yale. Widely known as the Woodward Report, after its chairman C. Vann Woodward, it contained this unequivocal line:

“The history of intellectual growth and discovery clearly demonstrates the need for unfettered freedom, the right to think the unthinkable, discuss the unmentionable, and challenge the unchallengeable.”

This was not a new insight. Although he died 150 years before the American Revolution, Francis Bacon hit unerringly on the requirements of a genuine education: reading, writing, and debate. Today, however, college campuses in the United States and much of the western world are replacing debate with coerced conformity. 

The result is an environment that once would have been considered an anathema to the very purpose of higher education: Rigorous exchanges of competing ideas have been replaced by university speech codes, constricted speech zones, commencement speaker “disinvitations, and “no-platforming,” which is university-speak for the heckler’s veto.

Some institutions are pushing back against this trend. By the summer of 2019, 67 U.S. institutions of higher learning had adopted the so-called “Chicago Statement” or a “substantially similar” statement guaranteeing freedom of speech on campus. That leaves nearly 1,600 schools that haven’t, including, ironically, Yale.

A majority of college students, according to a seminal Brookings Institution survey, do not fully support the precepts of the First Amendment; and one-fifth of them believe it’s acceptable to use physical force to silence a speaker who is making “offensive and hurtful statements.”

These students are tomorrow’s judges, jurors, legislators, journalists, and teachers. Operating under the conviction that freedom of speech is essential to the educational mission of the university, and ultimately to the survival of civil society, this page is designed to provide a platform for conversation on this critical topic.

RealClearPublicAffairs is a new series of sponsored curation designed to provide coverage of important and trending public policy issues. More About

The most important event in economic history: the harnessing of heat to do work. First coal, then oil, and later natural gas – hydrocarbon energy powered the Industrial Revolution and transformed humanity’s existence for the better. Growth rates in the one and a half millennia before the Industrial Revolution averaged approximately zero. Since then, per capita incomes in a typical free-market economy have risen by amounts ranging from several hundred to several thousand percent.

Visual Capitalist

Yet today, businesses and consumers face demands for the forcible phasing out of fossil fuel energy over the next three decades to stop global temperatures rising by a half a degree Centigrade. This is not just incompatible with capitalism. It is incompatible with modern living. Some six in every seven humans today still live in undeveloped countries. Non-Western nations aspiring to Western standards of living now account for around three-fourths of global CO2 emissions. For this reason alone, whatever the US and other western nations do, net zero by mid-century is simply not going to happen.

Energy policy should be based on facts and reason, from the fundamental physics of energy production and storage to the relation between energy and economic growth. This page is meant to serve as a clearinghouse for research, news, and multimedia that can inform debate over the major energy policy questions of today. Together, these curated materials lay the foundation for the policies that will ensure reliable and affordable energy for businesses and consumers and help the economy bounce back once the COVID-19 pandemic has passed, as well as chart a course for genuine environmental stewardship. 

Pennsylvania is a microcosm of the United States. The state that sparked the American Revolution and fueled the nation’s industrial growth is playing an outsized role in public policy and socioeconomic trends. Its culturally distinct regions—from large metro hubs and sprawling suburbs to Rust Belt cities and rural counties—serve as a crucial bellwether in electoral politics.

From energy and technology to demographics and urban affairs, the Commonwealth figures prominently in national policy discussions. The Covid-19 crisis will only further showcase Pennsylvania as a battleground for public policy. 

This page features noteworthy research, analysis, commentary, and news stories curated from Pennsylvania-based media outlets, national publications, and think tanks. We will examine the most important policy questions confronted by Pennsylvanians.

RealClearPublicAffairs is a new series of sponsored curation designed to provide coverage of important and trending public policy issues. More About

“America well knows that by once enlisting under other banners than her own…she would involve herself beyond the power of extrication, in all the wars of interest and intrigue, of individual avarice, envy, and ambition, which assume the colors and usurp the standard of freedom.” So cautioned John Quincy Adams on the Fourth of July in 1821...

Have generations of Americans since heeded the counsel of our sixth president?


It’s been three-quarters of a century since the Axis powers were defeated, nearly 30 years since the Iron Curtain was lifted, and 19 years since terrorists weaponized planes on U.S. soil, killing nearly 3,000 Americans. Today, America is neither entrenched in a great war, nor frozen in the kind of nuclear game of chicken that induced Baby Boomers to undergo fire drills that had them hiding under their elementary school desks. We are not anticipating another 9/11-style terrorist attack.

Yet the U.S. military is still operating in 40 percent of the nations of the world. It is has been engaged in nation-building efforts in Afghanistan for the better part of two decades. Some $5.9 trillion has been spent to fight the “war on terror” in that time only to see the pool of jihadists grow ever-larger. Little wonder that nearly half of Americans believe U.S. foreign policy over the last 20 years has made the country less safe.

The newest addition to the RealClearPublicAffairs family seeks to address and answer the profound questions raised by this experience: Is there a realistic alternative to this expansive, global military footprint? Would a different approach better ensure America’s security and prosperity? If America cannot be the world’s policeman, what grand strategy should guide U.S. foreign policy? The mission of these pages is to provide a curated and serious examination of these vital questions.

RealClearPublicAffairs is a new series of sponsored curation designed to provide coverage of important and trending public policy issues. More About