The Show-Me Institute, or SMI, is an American think tank based in St. Louis, Missouri that promotes public policies that advance free market principles.

Researchers have written in support of block-granting Medicaid and proposals that would financially incentivize non-long term care beneficiaries to shop for services and voluntarily leave the program.

[11] The institute has also written against certificate of need laws[12] and in support of health savings accounts,[13] direct primary care,[14] licensure reform[15] and insurance market deregulation.

[17] Researchers have also advocated for greater local government transparency, particularly for spending records of municipal, county, and special taxing districts.

[24] SMI researchers have supported the expansion of apprenticeship programs and a diversification of the state's educational portfolio to better fund blue collar career tracks.