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.

By Topher Spiro
Emergency Health Coverage for the Unemployed and Uninsured in Response to the Pandemic and Economic CrisisCenter for American ProgressJune 22, 2020
Thresholds States Must Meet To Control Coronavirus Spread and Safely ReopenCenter for American ProgressMay 4, 2020
A National and State Plan To End the Coronavirus CrisisCenter for American ProgressApril 3, 2020
Get aggressive, governors and mayors. Show that the buck and coronavirus stop with you.USA TodayMarch 19, 2020
State and Local Governments Must Take Much More Aggressive Action Immediately To Slow Spread of the CoronavirusCenter for American ProgressMarch 14, 2020
The Simple Solution To Lower Drug Prices for All AmericansCenter for American ProgressJune 21, 2019
Excess Administrative Costs Burden the U.S. Health Care SystemCenter for American ProgressApril 8, 2019
Donald Trump knows nothing about Medicare, health care or Democrats: TalkerUSA TodayOctober 10, 2018
Graham-Cassidy 2.0Center for American ProgressJune 19, 2018
Donald Trump and Republicans are Botching Health Care. We Need Medicare for Anyone.USA TodayApril 3, 2018
The bipartisan way to strengthen health careThe Washington PostJuly 18, 2017
Bipartisan Legislation to Lower Premiums and Stabilize Insurance MarketsCenter for American ProgressJune 29, 2017
Senate Repeal Bill Will Increase Average Costs for Exchange Enrollees by $2,294Center for American ProgressJune 27, 2017
The Emerging Senate Repeal Bill Eviscerates Protections for Millions in Employer Plans NationwideCenter for American ProgressJune 15, 2017
How the Senate health-care bill will drop people with preexisting conditionsThe Washington PostJune 14, 2017
The Upton Amendment to the ACA Repeal Bill Will Have Almost No EffectCenter for American ProgressMay 3, 2017
The Impact of the House ACA Repeal Bill on Enrollees’ CostsCenter for American ProgressMarch 16, 2017
We won’t know what’s in the Republican health-care repeal plan until they pass itThe Washington PostMarch 3, 2017
Why the Emerging Bill to Repeal the Affordable Care Act Will FailCenter for American ProgressFebruary 23, 2017
For the Insurance Lobby, Old Habits Are Hard to BreakCenter for American ProgressFebruary 15, 2017
Cassidy-Collins ACA ‘Replacement’ Plan Forces States to Choose from 3 Bad OptionsCenter for American ProgressJanuary 26, 2017
Real people rely on ObamacareUSA TodayDecember 15, 2016
Republican ACA Repeal Bill Would Unravel the Market Even Before It Goes into EffectCenter for American ProgressNovember 16, 2016
The ACA isn’t in a ‘death spiral’ — it’s undergoing a correctionThe Washington PostNovember 7, 2016
Negotiation Plus: A Framework for Value-Based Drug Pricing NegotiationCenter for American ProgressSeptember 26, 2016
The Affordable Care Act is not in crisis — but it could be betterThe Washington PostAugust 22, 2016
Healthcare mega-mergers drive income inequality. They must stopThe GuardianJuly 25, 2016
Re-Evaluating the Patient-Centered Outcomes Research InstituteCenter for American ProgressMay 31, 2016
The Population of Pregnant Women at Potential Risk of Zika Virus InfectionCenter for American ProgressMay 26, 2016
A Grand Bargain to Help the Poor Live LongerU.S. News & World ReportApril 14, 2016
State Options to Control Health Care Costs and Improve QualityCenter for American ProgressApril 11, 2016
Sending nurses to work with poor moms helps kids. So why don’t we do more of it?The Washington PostApril 5, 2016
Divestitures Will Not Maintain Competition in Medicare AdvantageCenter for American ProgressMarch 8, 2016
Bigger Is Not BetterCenter for American ProgressJanuary 21, 2016
Pa., expand home visitingThe Philadelphia InquirerJanuary 20, 2016
Paying It ForwardCenter for American ProgressNovember 12, 2015
What if drugs were priced based on their effectiveness?CNBCOctober 12, 2015
Enough Is EnoughCenter for American ProgressSeptember 18, 2015
A Strategy for Medicare Payment ReformCenter for American ProgressJune 1, 2015
The Great Cost ShiftCenter for American ProgressMarch 3, 2015
Payment Reform Action Plan: Meeting the New Medicare Payment Reform TargetCenter for American ProgressFebruary 26, 2015
King v. Burwell: The Prohibitive Cost of Any Congressional Response to a Ruling Against the Affordable Care ActCenter for American ProgressJanuary 29, 2015
Reforms to Help Meet the Growing Demand for Long-Term Care ServicesCenter for American ProgressOctober 31, 2014
Prostate Cancer Treatment: Unproven Proton Radiation Therapy Wastes Millions of DollarsCenter for American ProgressJuly 17, 2014
Eye Treatment for Seniors: How Lucentis Wastes More Than $1 Billion per YearCenter for American ProgressMay 22, 2014
A New Management Structure for a New Phase of the Affordable Care ActCenter for American ProgressMay 17, 2014
Spiro: Why the General Assembly must actThe Roanoke Times May 6, 2014
Comparing the Effectiveness of Health CareCenter for American ProgressJanuary 24, 2014
The Affordable Care Act’s Lower-Than-Projected Premiums Will Save $190 BillionCenter for American ProgressOctober 23, 2013
Reducing the Cost of Defensive MedicineCenter for American ProgressJune 11, 2013
Testimony: Health Insurance Premiums Under the Patient Protection and Affordable Care ActU.S. House of Representatives, Committee on Energy & Commerce, Subcommittee on Oversight & InvestigationsMay 20, 2013
Why Jeffrey Toobin Is Wrong About the Supreme Court and ObamacareThe AtlanticApril 4, 2012
If Medicare for All Is Constitutional, So Is ObamacarePolicyMicMarch 28, 2012
Latest House Republican Budget Threatens Medicare and Shreds the Safety NetCenter for American ProgressMarch 20, 2012
The Independent Payment Advisory BoardCenter for American ProgressMarch 5, 2012
The Case for the Individual Mandate in Health Care ReformCenter for American ProgressFebruary 8, 2012
Comments on Essential Health BenefitsCenter for American ProgressJanuary 30, 2012
The Inherent Flaws in Medicare Premium SupportCenter for American ProgressDecember 16, 2011
Expand Competitive Bidding in MedicareCenter for American ProgressOctober 26, 2011
How the Federal Government Can Save $100 Billion or More in Health-Care CostsCenter for American ProgressOctober 26, 2011
Replace Fee-for-Service with Bundled Payments in MedicareCenter for American ProgressOctober 26, 2011
Pay for Interventions That Work in MedicareCenter for American ProgressOctober 26, 2011
Cut Administrative Costs in the Health SystemCenter for American ProgressOctober 26, 2011
The Impact of Employer Responsibility Under the Affordable Care Act (Congressional Testimony)Center for American ProgressOctober 13, 2011
House Bill Costs More Than It Saves by Cutting Health CareCenter for American ProgressOctober 12, 2011