Ripon Forum


Vol. 59, No. 4

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In this edition

At a time when spending in just about every area of the federal government is coming under intense scrutiny and review, the latest edition of The Ripon Forum examines the importance of investing in health research and why is it critical that the United States remain a global leader in that regard.

Is There Room in American Politics for the Don Bacons of the World?

Bacon’s success is thanks to strong relationships in his district and his brand as a centrist, opposing his party line just often enough to win over voters who otherwise prefer Democrats.

Today’s Trade War: Hype vs. Reality

In 2018, President Trump proclaimed trade wars “are good and easy to win.” Now, six months into the President’s latest trade war, the results have proven to be anything but.

Saving Can-Do: How to Revive the Spirit of America

Howard’s concern these days – and the focus for much of his latest book – has less to do with the DOGE wrecking ball that has been tearing through Washington than the question of what comes next.

Kelly Ayotte’s Six Month Report Card

It has been roughly six months since Governor Kelly Ayotte was sworn into the corner office in New Hampshire. While it is still obviously early in her term, she remains popular and enjoys a double digit favorability rating as a Republican in a purple state that was also won by Kamala Harris. Her achievements in […]

America First in Health Research

The U.S. should commit itself to making the most of that next generation of healthcare and maintain our position as the world’s premier leader in medical breakthroughs.

America’s Pharmaceutical Supply Chain is in Crisis

The United States should never be dependent on the Chinese Communist Party for antibiotics and essential medicines. But that’s exactly the dangerous position we are in today.

Vaccines Lead to Better Health and Greater Productivity

The creation, development, and deployment of vaccines – a U.S. federal priority since the 1960s – has been one of the greatest health care achievements in history.

The Cost of Chronic Disease

As of 2023, roughly 194 million American adults had at least one chronic condition, which cost our nation’s economy billions of dollars each year.

America the Overprescribed

The best way to prevent the downstream effects of overprescribing is to prevent it in the first place. That also means a concerted effort to prevent overdiagnosis.

The Future of AI in Health Care: Moving at the Speed of Trust

For modernization to truly take hold, and for the adoption of artificial intelligence to be systematic and widespread, we need greater confidence in its safety and effectiveness.

Should the Government Control Drug Prices? No…

Most favored nation would further devastate drug research.

Should the Government Control Drug Prices? Yes…

The key to effectively constraining spending on drugs without stifling innovation is regulating drug prices wisely, with the goal of having reductions in funding concentrated in innovations that have the most limited prospects of increasing value to patients.

Remembering Mike Castle

The Honorable Mike Castle, who was the sole representative of Delaware in the U.S. House of Representatives, passed away at the age of 86 on August 14, 2025.

Ripon Profile of Greg Murphy

Greg Murphy reflects on how his career as a doctor shapes his service as a Member of Congress.

In this edition

Lou Zickar

At a time when spending in just about every area of the federal government is coming under intense scrutiny and review, the latest edition of The Ripon Forum examines the importance of investing in health research and why is it critical that the United States remain a global leader in that regard.

“There has been more change in healthcare and how we think about healthcare in the last 25 years than the collective healthcare advances of all time before that,” writes former Missouri Senator Roy Blunt in the cover essay for this latest edition.  “There are many reasons to believe that the next quarter century, and maybe even the next decade, will make the same kind of incredible progress.”

Blunt knows the issue better than most.  Before his retirement from Congress in 2023, he served as Chairman of the Senate appropriations subcommittee that funds the National Institutes of Health and other key federal healthcare agencies.  In this position, he helped lead the effort to make sure America was a global leader in medical research.  It is a priority, he said, that the federal government should renew its commitment to invest in today.

“The United States should commit itself to making the most of that next generation of healthcare and maintain our position as the world’s premier leader in medical breakthroughs,” Blunt writes.  “When a country is first in health research, the people of that country benefit the most, but the economic opportunity of being first is also significant. Just a few of the areas that will rapidly develop include CRISPR technology, microbial medicine, the AI applications in healthcare research, and analyzing healthcare data.”

According to Georgia Congressman Buddy Carter, lawmakers should also make it a priority to confront the crisis facing America’s pharmaceutical supply chain.  “The United States should never be dependent on the Chinese Communist Party for antibiotics and essential medicines. But that’s exactly the dangerous position we are in today.  In 2002, the United States manufactured 72 percent of the pharmaceuticals it consumed. By 2023, that number had dropped to just 37.5 percent. We didn’t just outsource manufacturing — we outsourced the sovereignty and safety of our health care system.”

In another essay, Michael Baker of the American Action Forum examines the vital role that vaccines have played in American life over the past six decades.  “The creation, development, and deployment of vaccines – a U.S. federal priority since the 1960s – has been one of the greatest healthcare achievements in history,” Baker writes.  “Routine childhood immunizations in the United States from 1994–2023 are estimated to have prevented around 508 million cases of illness, 32 million hospitalizations, and more than 1 million deaths.”

Also writing for this latest edition, Matthew A. Kahn of the Hoover Institution examines the cost of chronic disease in America, while Dr. Vikas Saini, the president of the Lown Institute, makes the case that America is overprescribed as a country and it is costing us billions of dollars each year.  Lucy Orr-Ewing of the Coalition for Health AI shares her thoughts on the future of artificial intelligence in health care, and, in our featured debate, Sally Pipes, President & CEO of the Pacific Research Institute squares off against Paul Ginsburg of USC and Steve Lieberman of the Schaeffer Center in a discussion over drug prices and whether the government should control them.

In our Politics & Perspective section, political observers Lee Drutman and Dustin Wahl look at Nebraska Congressman Don Bacon’s decision to retire from Congress and whether there is room for his brand of centrist conservatism in American politics today.  Alex Durante of the Tax Foundation examines the hype and reality of today’s trade wars, and strategist Matthew Bartlett assesses New Hampshire Governor Kelly Ayotte’s first six months in office.

In another essay, I examine author and attorney Philip K. Howard’s latest book, which follows up on the DOGE cuts taking place around Washington and asks a simple question — what comes next?  And in our latest Ripon Profile, North Carolina Congressman Greg Murphy discusses his career as a doctor and how that has shaped his service in the House.

As always, we hope you find this edition of The Ripon Forum interesting and informative, and welcome any questions or comments you may have.

Lou Zickar
Editor of The Ripon Forum
louzickar@riponsociety.org