We often point to the third-party payer problem as the cause of the explosion in health care costs. Insurers pay doctors who provide services to patients. This separation of payer and patient means the patient has little incentive to question the cost or even the quality of service. Now imagine what would happen if a big part of a state's spending ...

Governor Mead announced he will cut approximately $200 million from the current fiscal year's spending. This apparent burst of fiscal conservatism came as a result of a clause in the 2014 budget bill directing the governor to review agency budgets and reduce them if it looks like the fall in tax revenue will result in a deficit. Revenue has been on...