Expertise: Health care
Topher Spiro is the vice president for Health Policy and a senior fellow for Economic Policy at American Progress. He leads teams in conducting policy analysis and mobilizing grass-roots resistance in defense of the Affordable Care Act. Spiro has regularly advised senior administration officials and members of Congress on policy and strategy. His work has been published in The New York Times, The Washington Post, The Wall Street Journal, USA Today, The New England Journal of Medicine, and other publications. Spiro often testifies before Congress and has appeared on National Public Radio, CNBC, and C-SPAN.
Prior to joining American Progress, Spiro worked on health policy and economic policy in the U.S. Senate. He served as deputy staff director for health policy for the U.S. Senate Committee on Health, Education, Labor and Pensions under Sen. Edward M. Kennedy (D-MA) and Sen. Tom Harkin (D-IA). In that role, Spiro was a member of the team that drafted the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. As a policy analyst for the Senate Special Committee on Aging and the Joint Economic Committee, Spiro analyzed and developed policies on pensions, Social Security, and tax and budget issues.
Spiro received his B.A. from the Woodrow Wilson School of Public and International Affairs at Princeton University and his J.D. from the University of Virginia School of Law.
| title | website | date |
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| Donald Trump knows nothing about Medicare, health care or Democrats: Talker | USA Today | October 10, 2018 |
| Graham-Cassidy 2.0 | Center for American Progress | June 19, 2018 |
| Donald Trump and Republicans are Botching Health Care. We Need Medicare for Anyone. | USA Today | April 3, 2018 |
| The bipartisan way to strengthen health care | The Washington Post | July 18, 2017 |
| Bipartisan Legislation to Lower Premiums and Stabilize Insurance Markets | Center for American Progress | June 29, 2017 |
| Senate Repeal Bill Will Increase Average Costs for Exchange Enrollees by $2,294 | Center for American Progress | June 27, 2017 |
| The Emerging Senate Repeal Bill Eviscerates Protections for Millions in Employer Plans Nationwide | Center for American Progress | June 15, 2017 |
| How the Senate health-care bill will drop people with preexisting conditions | The Washington Post | June 14, 2017 |
| The Upton Amendment to the ACA Repeal Bill Will Have Almost No Effect | Center for American Progress | May 3, 2017 |
| The Impact of the House ACA Repeal Bill on Enrollees’ Costs | Center for American Progress | March 16, 2017 |
| We won’t know what’s in the Republican health-care repeal plan until they pass it | The Washington Post | March 3, 2017 |
| Why the Emerging Bill to Repeal the Affordable Care Act Will Fail | Center for American Progress | February 23, 2017 |
| For the Insurance Lobby, Old Habits Are Hard to Break | Center for American Progress | February 15, 2017 |
| Cassidy-Collins ACA ‘Replacement’ Plan Forces States to Choose from 3 Bad Options | Center for American Progress | January 26, 2017 |
| Real people rely on Obamacare | USA Today | December 15, 2016 |
| Republican ACA Repeal Bill Would Unravel the Market Even Before It Goes into Effect | Center for American Progress | November 16, 2016 |
| The ACA isn’t in a ‘death spiral’ — it’s undergoing a correction | The Washington Post | November 7, 2016 |
| Negotiation Plus: A Framework for Value-Based Drug Pricing Negotiation | Center for American Progress | September 26, 2016 |
| The Affordable Care Act is not in crisis — but it could be better | The Washington Post | August 22, 2016 |
| Healthcare mega-mergers drive income inequality. They must stop | The Guardian | July 25, 2016 |
| Re-Evaluating the Patient-Centered Outcomes Research Institute | Center for American Progress | May 31, 2016 |
| The Population of Pregnant Women at Potential Risk of Zika Virus Infection | Center for American Progress | May 26, 2016 |
| A Grand Bargain to Help the Poor Live Longer | U.S. News & World Report | April 14, 2016 |
| State Options to Control Health Care Costs and Improve Quality | Center for American Progress | April 11, 2016 |
| Sending nurses to work with poor moms helps kids. So why don’t we do more of it? | The Washington Post | April 5, 2016 |
| Divestitures Will Not Maintain Competition in Medicare Advantage | Center for American Progress | March 8, 2016 |
| Bigger Is Not Better | Center for American Progress | January 21, 2016 |
| Pa., expand home visiting | The Philadelphia Inquirer | January 20, 2016 |
| Paying It Forward | Center for American Progress | November 12, 2015 |
| What if drugs were priced based on their effectiveness? | CNBC | October 12, 2015 |
| Enough Is Enough | Center for American Progress | September 18, 2015 |
| A Strategy for Medicare Payment Reform | Center for American Progress | June 1, 2015 |
| The Great Cost Shift | Center for American Progress | March 3, 2015 |
| Payment Reform Action Plan: Meeting the New Medicare Payment Reform Target | Center for American Progress | February 26, 2015 |
| King v. Burwell: The Prohibitive Cost of Any Congressional Response to a Ruling Against the Affordable Care Act | Center for American Progress | January 29, 2015 |
| Reforms to Help Meet the Growing Demand for Long-Term Care Services | Center for American Progress | October 31, 2014 |
| Prostate Cancer Treatment: Unproven Proton Radiation Therapy Wastes Millions of Dollars | Center for American Progress | July 17, 2014 |
| Eye Treatment for Seniors: How Lucentis Wastes More Than $1 Billion per Year | Center for American Progress | May 22, 2014 |
| A New Management Structure for a New Phase of the Affordable Care Act | Center for American Progress | May 17, 2014 |
| Spiro: Why the General Assembly must act | The Roanoke Times | May 6, 2014 |
| Comparing the Effectiveness of Health Care | Center for American Progress | January 24, 2014 |
| The Affordable Care Act’s Lower-Than-Projected Premiums Will Save $190 Billion | Center for American Progress | October 23, 2013 |
| Reducing the Cost of Defensive Medicine | Center for American Progress | June 11, 2013 |
| Testimony: Health Insurance Premiums Under the Patient Protection and Affordable Care Act | U.S. House of Representatives, Committee on Energy & Commerce, Subcommittee on Oversight & Investigations | May 20, 2013 |
| Why Jeffrey Toobin Is Wrong About the Supreme Court and Obamacare | The Atlantic | April 4, 2012 |
| If Medicare for All Is Constitutional, So Is Obamacare | PolicyMic | March 28, 2012 |
| Latest House Republican Budget Threatens Medicare and Shreds the Safety Net | Center for American Progress | March 20, 2012 |
| The Independent Payment Advisory Board | Center for American Progress | March 5, 2012 |
| The Case for the Individual Mandate in Health Care Reform | Center for American Progress | February 8, 2012 |
| Comments on Essential Health Benefits | Center for American Progress | January 30, 2012 |
| The Inherent Flaws in Medicare Premium Support | Center for American Progress | December 16, 2011 |
| Expand Competitive Bidding in Medicare | Center for American Progress | October 26, 2011 |
| How the Federal Government Can Save $100 Billion or More in Health-Care Costs | Center for American Progress | October 26, 2011 |
| Replace Fee-for-Service with Bundled Payments in Medicare | Center for American Progress | October 26, 2011 |
| Pay for Interventions That Work in Medicare | Center for American Progress | October 26, 2011 |
| Cut Administrative Costs in the Health System | Center for American Progress | October 26, 2011 |
| The Impact of Employer Responsibility Under the Affordable Care Act (Congressional Testimony) | Center for American Progress | October 13, 2011 |
| House Bill Costs More Than It Saves by Cutting Health Care | Center for American Progress | October 12, 2011 |
