Avik Roy

Public policy is Avik Roy’s fourth career, but clearly his favorite one.

Avik was born to Indian immigrants in Rochester, Michigan, a place that instilled in him a lifelong fondness for the Michigan Wolverines and the Detroit Red Wings. He finished high school in San Antonio, Texas, where USA Today named him to its All-USA High School Academic First Team, honoring the top 20 seniors in the country.

After training as a scientist at MIT and as a physician at Yale Medical School, Avik moved to Boston to join a then-unknown investment firm called Bain Capital, where he focused on identifying biotechnology companies developing therapies for diseases that had heretofore gone untreated.

In 2009, as President Obama’s health reform bill was being debated in Congress, Avik started a blog about health care policy. “I couldn’t find anything to read that I agreed with, so I started writing it myself.” Avik’s blog, The Apothecary, was soon picked up by Reihan Salam at National Review, and Matt Herper at Forbes. In 2012, Avik joined Mitt Romney’s presidential campaign as a health care policy advisor. By 2014, Avik was Forbes’ Opinion Editor, and Meet the Press’ Chuck Todd was calling Avik “the go-to policy wonk critic of the health care law…the guru.”

But Avik wasn’t content merely to criticize the Affordable Care Act. He’s a passionate believer in the free-market case for universal coverage: the idea that choice and competition can bring quality health care to every American. His health reform plan, Medicare Advantage for All: A Patient-Centered Plan for Universal Coverage and Permanent Fiscal Solvency, is one of FREOPP’s flagship publications.

In 2015, Avik and his then-fiancée, Sarah, moved to Austin, where he ran the foreign and domestic policy shops for Texas Governor Rick Perry’s presidential campaign. In that capacity, Avik was also the lead author of Gov. Perry’s major policy speeches. The Wall Street Journal called Perry’s address on intergenerational black poverty “the speech of the campaign so far.” Later in the primaries, Avik advised Florida Senator Marco Rubio.

2016’s political outcomes convinced Avik that the same-old, same-old wasn’t working. “Both parties are failing to work for people who are struggling in the twenty-first century economy,” says Avik, FREOPP’s President. “That’s why FREOPP focuses exclusively on research that moves the needle for people with below-median incomes or net worth.”

In a November 2016 profile in The Atlantic, Avik spoke passionately about America’s unique tradition of diversity and liberty. “A son of…immigrants who gets into Harvard [represents] the best of America,” he said. “That’s what America is.”

Avik has been a central figure in the debate over how to respond to the COVID-19 pandemic. The plan he developed with his FREOPP colleagues for reopening the U.S. economy while COVID-19 endures changed the debate about whether partial reopenings were possible in the spring and summer of 2020. A second plan, focused on safely reopening schools and colleges, shaped policies around the country in the fall of that year. “A source close to the White House said officials were closely watching his recommendations for addressing the coronavirus pandemic,” noted Business Insider in 2020.

Avik’s work on prescription drug costs, including The Competition Prescription: A Market-Based Plan for Affordable Drugs and What Medicare Can Learn From Other Countries on Drug Pricing, has been a key source of ideas for Congress, and has heavily influenced the prescription drug reform agenda advanced by U.S. Health and Human Services Secretary Alex Azar.

Avik’s paper on reducing hospital prices, Affordable Hospital Care Through Competition and Price Transparency, was turned into a bill by Indiana Rep. Jim Banks called the Hospital Competition Act of 2019. Another bill, Rep. Bruce Westerman’s Fair Care Act of 2020, embodies the broad range of ideas in the Medicare Advantage for All initiative.

Avik also writes frequently on the rise of Bitcoin and decentralized finance. His 2021 National Affairs article, Bitcoin and the U.S. Fiscal Reckoning, has been described as a “tour de force” articulating “the most important arguments for why the United States should embrace Bitcoin” as a way to protect Americans from inflation. He serves on the Boards of Advisors of the Bitcoin Policy Institute and Sats Center, and on the Board of Directors of the Texas Bitcoin Foundation.

Avik and Sarah still live in Austin, with their two young children.