January 18, 2011 
 
 
The Honorable John Boehner    The Honorable Harry Reid 
Speaker of the House              Senate Majority Leader 
Washington, DC 20515            Washington, DC 20515 
 
The Honorable Nancy Pelosi    The Honorable Mitch McConnell 
House Minority Leader             Senate Minority Leader 
Washington, DC 20515            Washington, DC 20515 
 
 
Dear Speaker Boehner, Minority Leader Pelosi, Majority Leader Reid, and Minority Leader McConnell: 
 
To promote job growth and help to restore the federal government to fiscal balance, we, the undersigned, feel that it would be beneficial to repeal and replace the Patient Protection and Affordable Care Act (P.L. 111-148). Too many Americans remain unemployed and the United States faces a daunting budgetary outlook.  We believe the Patient Protection and Affordable Care Act is a threat to U.S. businesses and will place a crushing debt burden on future generations of Americans. 
 
A Barrier to Job Growth: The Patient Protection and Affordable Care Act contains expensive mandates and penalties that create major barriers to stronger job growth.  The mandates will compete for the scarce business resources used for hiring and firm expansion. The law also levies roughly $500 billion in new taxes that will enter the supply chain for medical services, raising the cost of medical services.  At the same time that businesses juggle the potential for higher interest rates or higher taxes, these medical costs will translate to higher insurance premiums, further increasing the cost of operating a business in the United States. 
 
A Massive Spending Increase and a Crushing Debt Burden:  The Patient Protection and Affordable Care Act is fiscally dangerous at a moment when the United States is already facing a sea of red ink.  It creates a massive new entitlement at a time when the budget is already buckling under the weight of existing entitlements.  At a minimum, it will add $1 trillion to government spending over the next decade.  Assertions that these costs are paid for are based on omitted costs, budgetary gimmicks, shifted premiums from other entitlements, and unsustainable spending cuts and revenue increases.  A more comprehensive and realistic projection suggests that the Affordable Care Act could potentially raise the federal budget deficit by more than $500 billion during the first ten years and by nearly $1.5 trillion in the following decade. 
 
The Patient Protection and Affordable Care Act does not constitute real health care reform.  The first step is to remove barriers to stronger job growth and to help restore fiscal balance to the nation’s budget by protecting taxpayers, American business, seniors, families, workers, and health care consumers from the damage that the Patient Protection and Affordable Care Act will cause. 
Congress should start with a clean sheet of paper and adopt initiatives that would encourage providers to offer higher-quality care at lower costs; reduce the cost pressures that threaten to bankrupt Medicare and Medicaid; and give every American access to more options for quality insurance.    
 
 
Respectfully, 
[Affiliations shown for purposes of identification and do not constitute institutional endorsement.] 
 
Douglas Holtz-Eakin 
President, American Action Forum 
Former Director, Congressional Budget Office (CBO) 
 
June O’Neill 
Professor of Economics, Baruch College 
Former Director, Congressional Budget Office (CBO) 
First Chair, Board of Scientific Counselors, National Center for Health Statistics 
 
Joseph Antos 
Wilson H. Taylor Scholar in Health Care and Retirement Policy American Enterprise Institute 
Former Assistant Director, Congressional Budget Office (CBO) 
 
Arlene Holen 
Senior Fellow, Technology Policy Institute Former Associate Director Congressional Budget Office (CBO) 
Former Associate Director White House Office of Management and Budget (OMB) 
 
Brian S. Wesbury 
Chief Economist, First Trust Portfolios LP 
Former Chief Economist, Joint Economic Committee of the US Congress 
 
Arthur B. Laffer 
Chairman, Laffer Associates 
First Chief Economist, Office of Management and Budget (OMB) 
Former Member, Economic Policy Advisory Board 
 
Jim Capretta 
Fellow, Ethics and Public Policy Center 
Former Associate Director, White House Office of Management and Budget (OMB) 
 
James D. Mietus, Ph.D. 
Independent Economist and Policy Adviser 
Former Economist, Office of Management and Budget (OMB) 
 
Michael Boskin 
Professor of Economics, Stanford University 
Former Chairman, White House Council of Economic Advisers (CEA) 
 
William Niskanen 
Former Action Chairman and Member, White House Council of Economic Advisers (CEA) 
Chairman Emeritus, Cato Institute 
 
 
Earl L. Grinols 
Distinguished Professor of Economics, Baylor University Former Senior Economist, White House Council of Economic Advisers (CEA) 
 
 
Mark H. Showalter 
Professor of Economics, Brigham Young University 
Former Senior Economist, White House Council of Economic Advisers (CEA) 
 
Scott Baier 
Associate Professor of Economics, Clemson University 
Former Senior Economist, White House Council of Economic Advisers (CEA) 
 
Larry Lindsey 
President, The Lindsey Group 
Former Director, National Economic Council (NEC) 
 
Todd G. Buchholz 
Managing Director, Two Oceans Management 
Former Senior Economic Adviser, The White House 
Fellow, Cambridge University 
 
Edward C. Prescott 
W.P. Carey Chaired Professor of Economics, Arizona State University 
Economist, Federal Reserve Bank of Minneapolis 
Nobel Laureate in Economics 
 
William Poole 
Distinguished Scholar in Residence, University of Delaware 
Senior Fellow, Cato Institute 
Former President, Federal Reserve Bank of St. Louis 
 
Kevin Hassett 
Director, Economic Policy Studies, American Enterprise Institute (AEI) 
Former Economist, Federal Reserve Board of Governors 
 
Mario J. Crucini, Ph.D. 
Research Associate, National Bureau of Economic Research (NBER) 
Senior Fellow, Globalization and Monetary Policy Institute, Federal Reserve Bank of Dallas 
 
Stephen J. Entin President and Executive Director Institute for Research on the Economics of Taxation Former Deputy Assistant Secretary for Economic Policy, Department of the Treasury  
Kathleen B. Cooper, Ph.D. 
Senior Fellow at the Tower Center for Political Studies, Southern Methodist University  
Former Undersecretary for Economic Affairs, Commerce Department 
  
Diana Furchtgott-Roth 
Director, Center for Employment Policy 
Senior Fellow, Hudson Institute Former Chief Economist, U.S. Department of Labor 
 
Carl J. Dahlman 
Senior Economist, RAND Corporation 
Former Deputy Assistant Secretary, Department of Defense 
Former Deputy Assistant Secretary, Department of Health and Human Services 
 
David Malpass 
President, Encima Global 
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Former Deputy Assistant Secretary, State Department 
 
Thomas R. Saving 
Jeff Montgomery Professor of Economics, Texas A&M University 
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Professor of Economics Appalachian State University 
 
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Professor of Economics 
Arizona State University 
 
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Professor of Economics 
Arizona State University 
 
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Professor of Economics and Labor Relations 
Ball State University 
 
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Professor of Economics 
Ball State University 
 
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Kennedy Chair of Business 
Barton College 
 
 
 
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Professor of Economics 
Baylor University 
 
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Distinguished Professor of Economics 
Binghamton University 
 
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Professor of Economics 
Chair, Department of Economics 
Berry College 
 
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Professor of Economics 
Brigham Young University 
 
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Professor of Economics 
Cal Poly 
 
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Professor of Economics (Retired) 
California State University, Bakersfield 
 
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Associate Professor of Economics 
California State University, Chico 
 
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Professor of Political Economy 
Carnegie Mellon University 
 
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Professor of Economics 
Central Michigan University 
 
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Associate Professor, Economics 
Central Michigan University 
 
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Professor of Economics Claremont Graduate University 
 
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Research Associate, National Bureau of Economic Research (NBER) 
Claremont McKenna College 
 
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Professor of Economics 
Clemson University 
 
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Columbia University 
 
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Cornell University 
 
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Duquesne University 
 
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East Carolina University 
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Professor of Economics 
Eastern Illinois University 
 
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Emory University 
 
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Graduate Faculty–Economics  
Florida Institute of Technology and Averett University 
 
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Dean Emeritus George Mason University School of Law  
 
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Distinguished Service Professor 
Duquesne University 
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Professor of Tourism Studies  
George Washington University 
 
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McDonough School of Business 
Georgetown University 
 
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Georgia College & State University  
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Professor of Economics 
Georgia Institute of Technology 
 
 
 
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Georgia State University  
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Golden Gate University 
 
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Hillsdale College  
 
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Hillsdale College 
 
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Hillsdale College 
 
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Hillsdale College 
 
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Hope College 
 
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Indiana Wesleyan University 
 
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Davis College of Business 
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Jacksonville University 
 
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Kennesaw State University 
 
 
 
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Lafayette College 
 
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Professor of Economics 
Lafayette College 
 
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Lewis & Clark Law School 
 
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Louisiana State University 
 
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Metropolitan State College of Denver 
 
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Miami University (Oxford, OH) 
 
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Michigan State University 
 
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Missouri University of Science and Technology 
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Missouri Southern State University 
 
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Professor Emeritus of Economics 
University of New Mexico 
 
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Professor, Department of Economics 
New York University 
 
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Nicholls State University 
 
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North Carolina State University 
 
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North Carolina State University  
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Professor of Economics 
Oklahoma State University 
 
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Professor of Economics 
Ohio State University 
 
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Eldon Smith Professor of Economics, Emeritus 
Pomona College 
 
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Professor and Chair, Department of Economics and Business 
Randolph-Macon College 
 
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Director, Civil Society Institute 
Santa Clara University 
 
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Research Fellow, Hoover Institution 
Stanford University 
 
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Gleed Endowed Chair, Seattle University 
Associate Professor of Law and Economics, Florida State University   
 
Norman Lefton, PhD Adjunct Associate Professor at the School of Business Southern Illinois University, Edwardsville  
 
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Professor of Finance 
Stetson University 
 
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Professor of Economics 
Suffolk University 
 
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Professor of Economics 
Texas A&M University 
 
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Associate Professor of Economics 
Trinity College 
 
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Professor of Finance, Department of Accounting and Finance 
University of Alabama in Huntsville 
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Professor of Economics 
University of Alaska Anchorage 
 
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University Research Scholar, Finance and Managerial Economics Department 
University at Buffalo 
 
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University of California, Davis 
 
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Goldyne and Irwin Hearsh Chair in Finance, Anderson School of Management 
University of California, Los Angeles (UCLA) 
 
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Professor of Economics 
University of California, Los Angeles (UCLA) 
 
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Professor of Finance, Anderson School of Management 
University of California, Los Angeles (UCLA) 
 
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University of California, Riverside  
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Steven N. Kaplan 
Neubauer Family Professor of Entrepreneurship and Finance, Booth School of Business  
University of Chicago  
 
Eugen F. Fama 
Robert R. McCormick Distinguished Service Professor of Finance, Booth School of Business 
University of Chicago 
 
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John Dewey Distinguished Service Professor of Economics, Department of Economics 
University of Chicago 
 
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Professor of Economics (retired) 
University of Colorado at Boulder 
 
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Professor Emerita, Department of Economics  
University of Colorado at Boulder 
 
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Professor of Finance 
University of Colorado at Boulder 
 
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Associate Chair & Professor of Economics 
University of Delaware 
 
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Associate Professor of Economics 
University of Delaware 
 
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Associate Professor of Economics 
University of Delaware 
 
James B. O’Neill 
Professor of Economics 
Director, Center for Economic Education and Entrepreneurship   
University of Delaware 
 
C. Thomas Howard, Ph.D. 
Professor, Reiman School of Finance 
University of Denver 
 
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Emeritus Professor  
University of Florida 
 
Jeffrey H. Dorfman 
Professor, Department of Agricultural and Applied Economics 
The University of Georgia 
 
James Moncur Professor Emeritus of Economics 
University of Hawaii at Manoa  
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Cullen Professor of Economics 
University of Houston 
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M.D. Anderson Professor of Economics 
University of Houston 
 
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Professor Emeritus of Economics and Statistics  
University of Idaho  
 
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University of Illinois at Urbana-Champaign 
 
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University of Iowa 
 
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University of Maine 
 
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Associate Professor of Economics and Public Policy  
University of Maine at Machias  
 
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University of Memphis 
 
Michael Connolly 
Professor of Economics, University of Miami 
Professor of Finance, Hunan University 
 
Christopher Douglas, Ph.D. 
Assistant Professor of Economics 
University of Michigan-Flint 
 
Mark J. Perry, Ph.D. 
Visiting Scholar at the American Enterprise Institute (AEI) 
Professor of Finance and Business Economics 
University of Michigan-Flint 
Stephen Parente, Ph.D. 
Minnesota Insurance Industry Professor of Healthcare Finance 
Director, Medical Industry Leadership Institute (MILI) 
University of Minnesota 
 
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F.A.P. Barnard Distinguished Professor of Economics 
The University of Mississippi 
 
Joseph Haslag 
Professor and Kenneth Lay Chair in Economics 
University of Missouri-Columbia 
 
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Professor of Economics 
University of Missouri at St. Louis 
 
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Professor of Economics, University of New Hampshire 
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Professor of Economics 
University of North Alabama 
 
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Ivadelle and Theodore Johnson Professor of Banking and Finance Emeritus 
Marshall School of Business 
University of Southern California 
 
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 John G. Matsusaka 
Professor of Finance and Business Economics 
Charles F. Sexton Chair in American Enterprise 
University of Southern California  
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Associate Professor of Economics and MBA Director 
Franciscan University of Steubenville 
 
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Professor of Economics 
University of Texas at Arlington 
 
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Professor of Economics and Political Economy 
University of Texas at Dallas 
 
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Assistant Professor of Economics 
University of Texas at El Paso 
 
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A.B. Templeton Professor and Chairman, Department of Economics and Finance 
University of Texas at El Paso 
 
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Author, Origins of American Health Insurance 
 
Richard T. Selden 
Carter Glass Professor of Economics Emeritus 
The University of Virginia 
 
David L. Kendall, Ph.D. 
Professor of Economics and Finance 
Chair, Department of Business and Economics 
University of Virginia’s College at Wise 
 
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Associate Professor of Entrepreneurship and Free Enterprise 
Vanderbilt University 
 
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Associate Professor of Healthcare Management 
Executive Director of Health Affairs, Owen Graduate School of Management 
Vanderbilt University 
 
Floyd H. Duncan, Ph.D. Roberts Professor of Free Enterprise Economics Chairman, Department of Economics and Business Virginia Military Institute  
Robert J. Rossana 
Professor of Economics 
Wayne State University 
 
Glenn MacDonald 
Distinguished Professor of Economics and Strategy 
Senior Associate Dean, Olin School of Business 
Washington University in St. Louis 
 
William N. Trumbull, Ph.D. 
Professor of Economics  West Virginia University 
 
Robert D. Seeley 
Associate Professor of Economics  
Wilkes University 
 
Dr. Jim Clark Associate Dean Associate Professor of Economics Wichita State University 
 
John McArthur 
Professor and Chair of Economics 
Wofford College 
 
Lawrence W. Lovik, Ph.D. 
Senior Fellow 
Alabama Policy Institute 
 
Michael Ramlet 
Coordinator – Operation Healthcare Choice 
American Action Forum 
 
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Resident Scholar 
American Enterprise Institute 
 
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Resident Scholar 
American Enterprise Institute 
 
 
Judy Shelton 
Senior Fellow and Co-Director of the Sound Money Project 
Atlas Economic Research Foundation  
 
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Monetary Policy Advisory, Central Banks of Afghanistan, Iraq, Kazakhstan, Kenya, and Zimbabwe 
Currency Director, Cayman Island Monetary Authority 
 
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President 
Galen Institute 
 
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Chairman 
Institute for Global Economic Growth 
 
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Resident Scholar 
Institute for Policy Innovation 
 
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James A. Baker III Institute for Public Policy 
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Senior Scholar 
Manhattan Institute 
 
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Research Associate 
National Bureau of Economic Research (NBER) 
 
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President, CEO and Kellye Wright Fellow 
National Center for Policy Analysis 
 
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Pacific Research Institute 
 
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Director, Health Care Studies 
Pacific Research Institute 
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Partner, Airline Forecasts 
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classicalprinciples.com 
 
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EconForecaster.com 
 
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