So it is a little surprising that as soon as March of 2011, and again last week, he is actively discouraging other states from looking at a defined contribution approach for small businesses as a conservative option to solving state insurance market issues.
Design, implement and evaluate capacity-building courses on, including distance learning and training of trainers, where appropriate, and assist intersectoral cooperation and, in particular with UNESCO Chairs, contribution in support of efforts to promote a human rights-based approach (HRBA) in UNESCO's programmes.
UNESCO: Vacancy : Programme Specialist (Human Rights) ( 28/11/2011) SHS 390 - (P3)
First of all, it is important to understand that starting up a truly open, defined contribution market for small businesses is a fairly complicated enterprise that warrants a cautious approach.
This approach will reflect the value that is created for shareholders and the contribution of the team responsible for those results, and it will provide for balanced rewards that are consistent with long term sustained performance.
The Council firmly believes that implementing a defined contribution system, with strong regulatory protections for patients, is a responsible and feasible approach to strengthening the Medicare program.
In Northern Ireland, the minister said, "we wanted to take a different approach, one that continues to maintain the current balance between public funding and user contribution".
Defined contribution may not be a panacea for America's spiralling health costs, but the new approach could be a useful step towards transferring more of the burden away from hard-pressed employers.
So an "A" for effort, grabbing headlines, and identifying the obvious, but a "C" for a rather confused economic approach, which looks more like a desire to say something jolting than a serious contribution.
That approach will be hopelessly inadequate for those who want to build a decent pension, especially in defined-contribution, or money-purchase, schemes, where the employee bears all the investment risk.
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