Advancing American Freedom

Affordability 101

101 Policy Solutions to Make Life More Affordable. Affordability 101 offers a playbook with 101 policy solutions to make life more affordable in 2026 and beyond.

Advancing American Freedom · September 2026

Affordability 101

101 Policy Solutions to Make Life More Affordable

The most durable way to make life more affordable is remarkably straightforward: make it easier to produce more. Build more homes. Produce more energy. Encourage more businesses to compete for customers. Give patients more health care choices. Let workers enter professions without unnecessary government barriers. Encourage investment and innovation. Let families decide how to spend more of their own money.

Affordability 101 — cover

Chapter 1

13 memos

Consumer Choice

Consumer Choice offers policy solutions that would keep the government from dictating or influencing which products or features Americans can purchase—and which features they must purchase.

“It’s not the government’s function to… impose unnecessary restrictions on the marketplace.”Ronald Reagan
The dollar has lost 88% of its purchasing power since 1971
The dollar has lost 88% of its purchasing power since 1971
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The average paycheck buys fewer groceries than it did six years ago
The average paycheck buys fewer groceries than it did six years ago
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Memo 1 of 101

Consumer Choice in Home Appliances

Federal policymakers should eliminate or relax laws and regulations that mandate efficiency standards for consumer products and appliances. Disclosure and consumer choice, rather than mandates, should be the policy paradigm.

David R. Burton

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Memo 2 of 101

Rein in Costs by Prosecuting Crime

Officials should promote order and affordability by upholding property rights and defending against criminality.

Preston Brashers

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Memo 3 of 101

Expand Choice in Childcare

Unnecessary regulations drive up costs and limit the supply of childcare while ineffective federal spending reduces its quality and accessibility.

Rachel Greszler

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Memo 4 of 101

End Annual Vehicle Safety Inspections

Mandated annual and biennial safety inspections for personal vehicles are ineffective at improving road safety, but they are a significant imposition on people’s time and resources.

Preston Brashers

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Memo 5 of 101

Consumer Choice in Cars and Trucks

Policymakers should reject electric vehicle (EV) mandates and eliminate laws and regulations that limit the types of vehicles that Americans can drive.

Preston Brashers

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Memo 6 of 101

End the EPA’s Carbon Regulation Regime

Congress should clarify that the Environmental Protection Agency (EPA) lacks authority under the Clean Air Act (CAA) to regulate carbon dioxide (CO2) and other greenhouse gases (GHGs) that don’t directly harm human health.

Preston Brashers

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Memo 7 of 101

Improve Benefit Portability

Individuals—not employers—should be in charge of choosing their benefits like health insurance, and they shouldn’t have to work for a particular company to get them.

Rachel Greszler

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Memo 8 of 101

Expand Pooled Health Insurance Access

Lawmakers should expand access to Association Health Plans so that more people in non-traditional jobs or with shared geography or interests can pool together to obtain more affordable health insurance.

Rachel Greszler

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Memo 9 of 101

Permit Greater Use of Telemedicine

Congress should allow greater use of telemedicine to enable patients to have access to a larger pool of available physicians.

Paul J. Larkin

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Memo 10 of 101

Expand Private Health Care Choice with HSAs

Lawmakers should enact health care reforms that give consumers more agency over their health care choices, moving away from one-size-fits-all plans controlled by the government and employers in favor of Health Savings Accounts.

Gadai Bulgac

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Memo 11 of 101

Cap Deductibility of Untaxed Benefits

Congress should set a per-employee cap on the amount employers may deduct for untaxed non-monetary benefits. This would reduce an existing distortion in the tax code that discourages paying higher wages.

Preston Brashers

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Memo 12 of 101

Make Colleges Share Student Loan Risk

Congress should require universities to share in the losses on the degrees they sell and stop lending taxpayer money for degrees that don't pay off.

Richard Stern

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Memo 13 of 101

Expand School Choice

States should adopt education savings accounts (ESAs) and allow parents to direct funding for their children’s education to programs that are right for them.

Preston Brashers

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Chapter 2

7 memos

Abundant Energy and Natural Resources

Abundant Energy and Natural Resources describes ways that policymakers could remove unnecessary government barriers to accessing the energy resources that power America’s economy, and it includes ideas to improve the government’s stewardship of the natural resources it manages.

“Our country was built on cheap energy.”Ronald Reagan
American oil and gas output has more than doubled since the fracking revolution
American oil and gas output has more than doubled since the fracking revolution
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Fracking and rising production kept fuel prices below inflation
Fracking and rising production kept fuel prices below inflation
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Memo 14 of 101

Expand Access for Oil & Gas Production

Federal and state policymakers should expand access to domestic oil and gas by establishing permanent lease-sale schedules and reducing unnecessary restrictions.

Austin Gae

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Memo 15 of 101

Cut Red Tape and Onerous Restrictions on Oil

Lawmakers should repeal burdensome and unnecessary regulations and mandates that raise oil costs, and, in turn, the price of goods and services across the economy.

Austin Gae

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Memo 16 of 101

Reject Carbon Taxes and Cap-and-Trade

Lawmakers should reject all carbon taxes and cap-and-trade schemes.

Preston Brashers

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Memo 17 of 101

Eliminate Energy Mandates and Subsidies

Lawmakers should repeal costly energy subsidies and mandates, which seek to dictate which forms of energy Americans must produce and use.

Austin Gae

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Memo 18 of 101

Unshackle Nuclear Energy

Lawmakers and nuclear regulators should keep cutting needless red tape so reliable, carbon-free nuclear power can be deployed more quickly and cheaply.

Austin Gae

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Memo 19 of 101

Improve Forest and Timber Management

Officials should take proactive steps to reduce the share of America’s forests lost to wildfires, such as solidifying buffers from tall trees around utilities and creating strategic fuel breaks, while reducing barriers to harvesting timber.

Preston Brashers

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Memo 20 of 101

Speed up the Mining Permitting Process

Lawmakers should reform the protracted permitting process to boost much-needed domestic production of critical minerals.

Austin Gae

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Chapter 3

14 memos

Freedom to Work and Enterprise

Freedom to Work and Enterprise outlines ways to make government policy more conducive to work and enterprise, ensuring that the government doesn’t act as a gatekeeper telling workers and businesses whether they have permission to enter mutually beneficial arrangements or pursue new enterprises.

“[The] system must be replaced by one that restores incentive for the worker and for industry—a system that rewards initiative and effort and encourages thrift.”Ronald Reagan
More than one in five workers now needs government permission
More than one in five workers now needs government permission
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Teen labor force participation has fallen by a third since 2000
Teen labor force participation has fallen by a third since 2000
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Memo 21 of 101

Reform Occupational Licensing

Policymakers should eliminate or relax licensure laws and other government-imposed barriers to entry that limit competition.

Rachel Greszler

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Memo 22 of 101

Reject Minimum Wage Increases

Lawmakers should avoid further increases in either the federal or state minimum wages, and state lawmakers should consider paring back recent increases or allowing sub-minimum wages for teens.

Rachel Greszler

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Memo 23 of 101

Adopt Right-to-Work Laws

Congress and states should pass Right-to-Work laws, which prevent workers from being fired from their jobs for refusing to pay dues or fees to a labor union. This would force union officials to seek voluntary worker support and make it harder for them to make counterproductive contract demands.

Jace White

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Memo 24 of 101

End Social Security’s Earnings Penalty

Congress should eliminate Social Security’s Retirement Earnings Test, which functions like an additional 50% tax on some working Social Security recipients’ benefits, causing them to work and earn less than they would otherwise choose.

Rachel Greszler

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Memo 25 of 101

Conscience Protections for Care Workers

Policymakers should expand religious and conscience protections for care workers. Stronger, more consistent protections would attract and retain more religious and conscientious workers in the industry rather than force them out, expanding the labor force in critical sectors facing persistent shortages and rapid cost growth.

John Shelton

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Memo 26 of 101

Strengthen Welfare Work Requirements

Welfare should be for those in need. Working families should not have to give up part of their paychecks to support idleness among able-bodied, working-age adults without dependents.

Rachel Greszler

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Memo 27 of 101

Expand Apprenticeship Opportunities

Apprenticeships should be freed from red tape and union protectionism so that they can expand into new occupations, providing more opportunities and higher incomes.

Rachel Greszler

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Memo 28 of 101

End Disparate Impact Liability in Hiring

Policymakers should dismantle “disparate impact” laws and rules, which can require employers to justify employment practices like aptitude tests if they have different outcomes by race, sex, or other protected class.

Preston Brashers

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Memo 29 of 101

Protect Franchisees and Small Businesses

Congress should end regulatory flip-flopping and codify the rights of franchisees and small businesses to manage their employees and operations free from corporate control.

Rachel Greszler

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Memo 30 of 101

Freedom for Entrepreneurs and Contractors

Lawmakers should protect entrepreneurship and independent work by codifying bright-line tests, consistent across all federal law, based on the level of control an individual exercises over their work.

Rachel Greszler

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Memo 31 of 101

Improve Entrepreneurs’ Access to Capital

Securities laws impede the ability of small and start-up businesses to raise the capital necessary to launch and grow.

David R. Burton

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Memo 32 of 101

Medical Licensure and Scope-of-Practice Reform

State legislatures should address the growing physician shortage by allowing more qualified medical professionals to practice medicine.

Paul Larkin and Gadai Bulgac

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Memo 33 of 101

Add Flexibility to Overtime Pay Mandates

Overtime pay mandates can do more to limit flexibility and restrict output than they do to increase wages. Lawmakers should provide greater flexibility in overtime pay mandates to expand incomes and output.

Rachel Greszler

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Memo 34 of 101

Codify the PAID Program

The PAID program for unintentional paycheck errors would increase the amount and speed of payments returned to workers, while saving legal costs.

Rachel Greszler

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Chapter 4

11 memos

Freedom to Build

Freedom to Build suggests policy solutions that would help reduce red tape, regulations, restrictions, ill-advised taxes, and other government-imposed barriers that stand in the way of quick and efficient construction of new homes, workplaces, hospitals, and infrastructure in the United States.

“But there remains the greatness of our people, our capacity for dreaming up fantastic deeds and bringing them off to the surprise of an unbelieving world.”Ronald Reagan
Housing costs have outpaced overall inflation over the past 15 years
Housing costs have outpaced overall inflation over the past 15 years
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Red tape adds $131,734 to the price of a new home
Red tape adds $131,734 to the price of a new home
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Memo 35 of 101

Sell Unused Federal Land

Congress should expand private landownership and the development of more affordable housing by requiring the Bureau of Land Management (BLM) and the U.S. Forest Service (USFS) to hold annual land sales.

Austin Gae

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Memo 36 of 101

Reduce Zoning Restrictions

State and local zoning laws restrict housing supply and increase the cost of building homes.

David R. Burton

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Memo 37 of 101

Reform Building Codes and LEED Rules

Burdensome building codes and mandatory green-certification requirements add to the costs of new homes. States should slow the cycle of required code updates, make green certifications voluntary, and prohibit federal energy-code overreach.

Joel Griffith

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Memo 38 of 101

Streamline Permitting

Federal and state permitting rules cause large delays and expense on most major projects.

David R. Burton

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Memo 39 of 101

Reject Rent Control and Eviction Moratoria

Rent control and eviction moratoria shrink the supply of rental housing, deter new construction and upkeep, and erode fundamental private property rights. Lawmakers at every level should reject these price and occupancy controls.

Joel Griffith

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Memo 40 of 101

Full Expensing for Rental Housing

Congress should facilitate more housing construction by allowing rental housing developers to fully expense construction costs when the property is made available for rent, instead of delaying deductions by up to 27.5 years, as under current law.

Preston Brashers

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Memo 41 of 101

Full Expensing for Commercial Buildings

Congress should allow full and immediate expensing for all commercial, industrial, and agricultural buildings, structures, and privately owned infrastructure.

Preston Brashers

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Memo 42 of 101

Repeal Davis-Bacon Act

Repealing the Davis-Bacon Act would reduce construction costs, expand job and income opportunities, and ensure taxpayers receive more bang for their buck.

Rachel Greszler

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Memo 43 of 101

End Certificate of Need Requirements

State lawmakers should end certificate of need (CON) requirements in health care that require hospitals and other health care providers to demonstrate a “need” to state authorities before obtaining permission to build or expand their facilities or offer new services or technologies.

David R. Burton

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Memo 44 of 101

Ensure Competitive Government Contracts

Government contracts should be awarded through full and open competition so that taxpayers—not politically connected contractors—receive the best value.

Rachel Greszler

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Memo 45 of 101

End Project Labor Agreement Mandates

By restricting competition, project labor agreements (PLAs) drive up costs, enable inefficiencies, and limit job opportunities.

Rachel Greszler

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Chapter 5

12 memos

Freedom to Innovate and Compete

Freedom to Innovate and Compete discusses potential reforms to foster private innovation and competition with reforms that remove barriers to technological and medical innovation, privatize government enterprises, and place checks on the expansion of the regulatory state.

“Putting the market system to work for these objectives is an essential first step for their achievement. Additional multibillion dollar federal bureaus and programs are not the answer.”Ronald Reagan
The regulatory code has nearly tripled since 1970
The regulatory code has nearly tripled since 1970
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The machines, buildings, and software that run the economy wear out faster
The machines, buildings, and software that run the economy wear out faster
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Memo 46 of 101

Reciprocal Lifesaving Drug Approvals

Policymakers should fast-track approval of lifesaving drugs and medical devices that have been approved by trusted regulatory bodies of selected nations.

Preston Brashers

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Memo 47 of 101

Reject Most-Favored-Nation Drug Policy

Most-Favored-Nation policy won’t lower U.S. drug prices; it will restrict lifesaving and life-improving drug innovation, and it could increase U.S. dependence on Chinese drugs.

Rachel Greszler

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Memo 48 of 101

Allow AI Infrastructure Productivity Gains

Lawmakers should reject data-center moratoria and remove regulatory barriers to the reliable, affordable energy needed to power America’s AI infrastructure.

Austin Gae and Richard Stern

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Memo 49 of 101

Remove Tax Penalties Against Foreign R&D

Congress should end the tax penalty against American companies that conduct research and development (R&D) outside the United States, except for in countries of concern like China.

Preston Brashers

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Memo 50 of 101

End the Auto Dealer Cartel

Most states require new vehicles to be sold through a franchised dealer. This middleman mandate adds an estimated $3,934 to $4,992 to the price of a typical new vehicle. States should legalize direct-to-consumer sales for all manufacturers, not just a select few.

Joel Griffith

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Memo 51 of 101

End the Prohibition on Onsite Beef Processing

Federal law bars ranchers from selling beef harvested on their own land. Instead, every market animal must be trucked to an inspected plant. Congress should legalize onsite processing for in-state sales and use its Commerce Clause power to allow state-inspected meat to cross state lines.

Joel Griffith

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Memo 52 of 101

No Government Equity Stakes or Retaliation

The federal government should not take equity stakes in companies and should divest its existing ownership stakes.

Preston Brashers

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Memo 53 of 101

Privatize Federal Housing Enterprises

The federal government should get out of the business of housing finance.

David R. Burton and Rachel Greszler

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Memo 54 of 101

Privatize Federal Transportation and Utilities

The federal government should get out of the business of operating transportation and utility companies.

David R. Burton and Rachel Greszler

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Memo 55 of 101

Commercialize Air Traffic Control and TSA

Congress should commercialize America’s air traffic control (ATC) and the Transportation Security Administration (TSA) to make air travel more efficient and affordable.

Rachel Greszler

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Memo 56 of 101

Judicial Checks on the Regulatory State

Congress should codify and expand on the recent changes to judicial review made in Loper Bright Enterprises v. Raimondo that clarified that courts need not give deference to federal agencies’ interpretations of ambiguous statutes.

Preston Brashers

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Memo 57 of 101

Congressional Oversight of Regulatory State

Congress should reclaim its full, rightful constitutional authority to legislate by requiring that major federal rules receive congressional approval.

Preston Brashers

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Chapter 6

7 memos

Tax Reform

Tax Reform outlines some of the economically destructive taxes imposed by federal, state, and local governments that should be eliminated or reduced, along with other potential pro-growth reforms.

“At the same time, the federal government has cynically told us that high taxes on business will in some way solve the problem and allow the average taxpayer to pay less. Well, business is not a taxpayer, it is a tax collector. Business has to pass its tax burden on to the customer as part of the cost of doing business.”Ronald Reagan
Letting the 2017 tax cuts lapse would have cost the average household $28,526
Letting the 2017 tax cuts lapse would have cost the average household $28,526
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The U.S. still taxes business more heavily than most of the OECD
The U.S. still taxes business more heavily than most of the OECD
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Chapter 7

6 memos

Free Trade and Commerce

Free Trade and Commerce focuses on ways to facilitate more commerce through the reduction or removal of tariffs and other artificial trade barriers with friendly nations and allowing more seamless commerce across the United States.

“A developing closeness between the United States, Canada and Mexico would [show] that we were prepared for a long haul, looking outward again and confident of our future; that together we are going to create jobs, to generate new fortunes of wealth for many, and provide a legacy for the children of each of our countries.”Ronald Reagan
Prices of these consumer goods tripled pre-NAFTA, then were mostly flat until COVID
Prices of these consumer goods tripled pre-NAFTA, then were mostly flat until COVID
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Tariffs now take a larger share of the economy than Smoot-Hawley did
Tariffs now take a larger share of the economy than Smoot-Hawley did
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Memo 65 of 101

Reassert Congressional Power Over Tariffs

Congress should reclaim its exclusive constitutional authority over tariffs from the executive branch.

J. Marc Wheat

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Memo 66 of 101

Reduce Tariffs on Final Consumer Products

Tariffs and other trade barriers on final consumer products imported from friendly nations should be reduced.

David R. Burton

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Memo 67 of 101

Reduce Tariffs on Business Inputs

Tariffs and other trade barriers on business inputs imported from friendly nations should be removed, including those imposed on steel, aluminum, copper, lumber, machine tools, auto parts, semiconductors, energy, fertilizer, and chemicals.

David R. Burton

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Memo 68 of 101

Repeal the Jones Act

The Jones Act has resulted in a tiny and dilapidated U.S. shipping fleet that drives up shipping and energy costs and limits domestic waterway transportation.

Rachel Greszler

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Memo 69 of 101

Repeal or Reform the Foreign Dredge Act

Laws requiring that dredging vessels operating in the U.S. be built in America and owned and crewed primarily by Americans should be changed to allow dredging by vessels from other friendly nations.

Preston Brashers

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Memo 70 of 101

Approve Transcontinental Railroad Merger

The Surface Transportation Board (STB) should expedite the approval of the proposed merger of the Union Pacific Railroad (UP) and Norfolk Southern Railway (NS) to allow the creation of America’s first single-line coast-to-coast railroad.

Preston Brashers

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Chapter 8

10 memos

Fiscal Restraint

Fiscal Restraint proposes major spending reforms to reverse the out-of-control growth of the federal deficit and limit borrowing to sustainable levels, which would ease pressure on the Federal Reserve to print money to finance new debt.

“The people have not created this disaster in our economy; the federal government has. It has overspent, overestimated, and overregulated. It has failed to deliver services within the revenues it should be allowed to raise from taxes.”Ronald Reagan
The federal debt has risen to roughly $293,000 per household
The federal debt has risen to roughly $293,000 per household
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COVID “Stimulus” checks were paid by American families through inflation
COVID “Stimulus” checks were paid by American families through inflation
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Memo 71 of 101

Reduce Federal Spending

Out-of-control federal spending has driven the Fed to rapidly grow the money supply to accommodate deficits, which, in turn, has driven persistent inflation.

Preston Brashers

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Memo 72 of 101

Enact Comprehensive Social Security Reform

Congress should enact comprehensive Social Security Reform to avoid large-scale tax increases, benefit cuts to those most in need, and a painful fiscal crisis.

Rachel Greszler

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Memo 73 of 101

Personal Savings Option for Social Security

Social Security is not retirement savings because 100% of workers’ taxes go immediately to retirees’ benefits. Today’s workers should have the opportunity to build personal retirement savings that they own and can pass on to their heirs.

Rachel Greszler

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Memo 74 of 101

Comprehensive Medicare Reform

The Medicare trust fund is on track to become insolvent in 2033. Major reforms are needed to avoid insolvency while also improving health care affordability.

Gadai Bulgac

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Memo 75 of 101

Stop Mandatory Spending Growth

Congress should convert appropriate mandatory programs to discretionary spending and require regular reauthorization so that more of the budget faces regular congressional scrutiny in the appropriations process.

Preston Brashers

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Memo 76 of 101

Return Welfare to the States

Lawmakers should restore most welfare programs to the states, which are better equipped and better incentivized to responsibly, effectively, and cost-consciously manage welfare services.

Rachel Greszler

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Memo 77 of 101

Per Capita Caps on State Medicaid Funds

The federal government should fund the same amount of Medicaid costs for similar populations whether they live in Maine, Texas, or California.

Rachel Greszler

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Memo 78 of 101

Shift to Flat Anti-Poverty Benefit for SSDI

Lawmakers should shift Social Security’s Disability Insurance (SSDI) program to a flat benefit, essentially eliminating poverty among SSDI beneficiaries and reducing payroll taxes for workers.

Rachel Greszler

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Memo 79 of 101

Allow a Private SSDI Option

The Social Security Disability Insurance (SSDI) program doesn’t serve individuals with disabilities or taxpayers well. There should be a private alternative.

Rachel Greszler

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Memo 80 of 101

Reform Budget Scoring

The baseline assumptions of Congress’s scorekeepers: the Congressional Budget Office (CBO) and the Joint Committee on Taxation (JCT) favor spending growth and disfavor tax cuts. These biases should be eliminated.

Preston Brashers and Zachary Cady, Ph.D.

Read memo »

Chapter 9

9 memos

Sound Money and Capital Freedom

Sound Money and Capital Freedom describes policy changes that would support a sound dollar and more efficient capital allocation by limiting the Federal Reserve’s discretion to expand the money supply and allowing a freer flow of private capital.

“In the 34 years since the end of World War II, the federal government has spent 448 billion dollars more than it has collected in taxes—448 billion dollars of printing press money, which has made every dollar you earn worth less and less.”Ronald Reagan
The typical mortgage payment on a new home has nearly doubled since 2020
The typical mortgage payment on a new home has nearly doubled since 2020
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The Fed printed dollars to finance the federal deficit and triggered a wave of inflation
The Fed printed dollars to finance the federal deficit and triggered a wave of inflation
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Memo 81 of 101

Implement the Taylor Rule

The Federal Reserve should follow a transparent, rules-based framework like the Taylor Rule to anchor inflation expectations, protect wages and savings from erosion, and facilitate long-term economic planning.

Joel Griffith

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Memo 82 of 101

Reject a Federal Reserve CBDC

Congress should permanently prohibit the Federal Reserve from creating a central bank digital currency (CBDC). A CBDC could concentrate credit allocation in the hands of the central bank and replicate the financial-surveillance model of the Chinese Communist Party (CCP).

Joel Griffith

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Memo 83 of 101

Limit Federal Reserve Assets

The Federal Reserve’s balance sheet should be limited to short-term Treasuries to prevent the Fed from steering credit to prop up politically favored sectors such as housing, corporate debt, or equities.

Joel Griffith

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Memo 84 of 101

Repeal Dodd-Frank Provisions

Congress should repeal or reform the ill-advised provisions of the Dodd-Frank Act.

David R. Burton

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Memo 85 of 101

Universal Savings Accounts

Congress should enact legislation allowing for the creation of flexible Universal Savings Accounts (USAs).

Preston Brashers

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Memo 86 of 101

Reject Credit Card Caps

Proposed caps on credit card interest rates are price controls on credit. Like all price controls, they would create shortages, drying up credit for the very families they are meant to help and pushing desperate borrowers toward predatory lenders.

Joel Griffith

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Memo 87 of 101

Stop ESG and DEI

DEI and ESG are racist and economically destructive.

David R. Burton

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Memo 88 of 101

FINRA Reform

FINRA’s regulatory responsibilities should be moved to the SEC. Otherwise, Congress and the SEC need to substantially reform FINRA.

David R. Burton

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Memo 89 of 101

End the Municipal Bond Exclusion

Congress should phase out the federal tax exclusion for interest income from state and local bonds.

Preston Brashers

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Chapter 10

12 memos

Accountability and Oversight

Accountability and Oversight outlines reforms that would reduce waste, fraud, and abuse in federal programs and help ensure that taxpayer dollars are spent responsibly.

“We must force the entire federal bureaucracy to live in the real world of reduced spending, streamlined functions and accountability to the people it serves. We must review the functions of the federal government to determine which of those are the proper province of levels of government closer to the people.”Ronald Reagan
Tariff lobbying has grown more than sevenfold in two years
Tariff lobbying has grown more than sevenfold in two years
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Nearly a fifth of personal income comes from government redistribution
Nearly a fifth of personal income comes from government redistribution
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Memo 90 of 101

Require a Full Accounting of Federal Benefits

Cracking down on hundreds of billions of dollars in fraud and improper payments requires a full accounting of federal benefits.

Rachel Greszler

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Memo 91 of 101

Close or Consolidate Federal Offices

Congress should close and consolidate federal offices or reduce or eliminate their appropriations to limit questionable federal functions.

Preston Brashers

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Memo 92 of 101

Tie Funding to Measurement and Reporting

Taxpayers deserve a full and accurate accounting of how much of their hard-earned tax dollars the federal government spends on improper payments.

Rachel Greszler

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Memo 93 of 101

Site-Neutral Medicare Payments

Under the current Medicare system, the government often pays hospitals more than twice what it pays independent physician offices for comparable outpatient services. Congress should make payments the same across the board.

Gadai Bulgac

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Memo 94 of 101

End State Medicaid Money Laundering Schemes

Lawmakers should eliminate Medicaid provider taxes, which amount to legal money laundering of tens of billions of dollars annually by states at the expense of federal taxpayers.

Rachel Greszler

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Memo 95 of 101

Give States Skin in the Game for Fraud

States—not federal taxpayers—should have to pay when they issue improper payments and enable fraud.

Rachel Greszler

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Memo 96 of 101

Equalize Medicaid’s FMAP Payments

The federal government shouldn’t pay states more for able-bodied, working age adults enrolled in Medicaid than it pays for traditional enrollees—children, pregnant women, the disabled, and low-income seniors.

Rachel Greszler

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Memo 97 of 101

Close Welfare Eligibility Loopholes

Congress should eliminate the Broad-Based Categorical Eligibility (BBCE) loophole that allows millions of otherwise ineligible people to qualify for welfare.

Rachel Greszler

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Memo 98 of 101

Reform Obamacare and Address Fraud

Obamacare should be reformed to promote competition, enhance federalism, crack down on fraud, and increase incentives to control costs.

Preston Brashers

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Memo 99 of 101

Limit Welfare to Americans in Need

Congress should limit welfare to those in need instead of forcing taxpayers to subsidize ordinary expenses for nearly a third of the population.

Rachel Greszler

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Memo 100 of 101

Limit SSDI to Intended Population

Unintended use of Social Security’s Disability Insurance (SSDI) program increases payroll taxes and restricts income and output by reducing the workforce.

Rachel Greszler

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Memo 101 of 101

Consolidate Welfare Programs

Welfare should help Americans achieve work and upward mobility—not trap them in a web of complicated and often conflicting welfare programs.

Rachel Greszler

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