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  • Health Care Costs Health Insurance US Health Care Reform

    Where Next for Health Policy?

    November 2025 Sherry Glied Lawrence D. Brown

    Despite all the criticism, the ACA has had notable success in achieving its objectives. More

  • Health Equity Population Health Social drivers of health Value-Based Payment

    Now What? Neighborhood Nursing’s Answer to the US Health Care Paradox of Spending More but Getting Less

    November 2025 ANDRE NOGUEIRA MARGARET M. FITZPATRICK ASHLEY GRESH KENNEDY MCDANIEL TIFFANY J. RISER TERRANCE LINDSAY RANDI WOODS ADEDOYIN EISAPE LISA STAMBOLIS ALICIA COOKE BRUCE LEFF ELIANA PERRIN REGINA HAMMOND Sarah L. Szanton

    Despite spending more per capita on healthcare than any other nation, the United States experiences declining life expectancy and increasing chronic disease burden—a paradox reflecting fundamental limitations in the current treatment-centered, facility-based care system. This paper introduces Neighborhood Nursing, an innovative universal care infrastructure designed to shift the US healthcare toward proactive, prevention-centered care organized geographically in neighborhoods. More

  • Population Health Public Health

    Public Concern about Threats to Public Health and Science Remains Modest

    November 2025 Rebekah H. Nagler Erika Franklin Fowler Emily K. Vraga Alexander J. Rothman Sarah E. Gollust

    US adults’ awareness of actions threatening public health and science declined between March and September 2025, according to a new survey. More

  • Pharmaceutical and Medical Device Policy

    The New Politics of New Drug Approval

    November 2025 Paul T. Kim

    As feared at the start of the second Trump Administration, the Food and Drug Administration (FDA) has proven a willing good soldier in fulfilling the… More

  • Population Health Public Health

    What Could Be Wrong with “Gold Standard Science”?

    October 2025 Joshua M. Sharfstein

    If repetition is the mother of learning, then I am learning that the second Trump administration likes to use the term “gold standard science.” It is… More

  • Health Care Practice / Quality Population Health

    Trends in Long-Term Care Ombudsman Program Funding and Its Relationship to Nursing Home Resident Care

    October 2025 Katherine A. Kennedy Cyrus Kosar Madison S. Williams Kali S. Thomas

    Context: Funded partially by the Older Americans Act, state Long-Term Care Ombudsman Programs (LTCOPs) provide a critical role in serving as… More

  • How Did Medicaid’s 1115 Substance Use Disorder Waivers Increase Medication Treatment for Opioid Use Disorder? Evidence From Eight Waiver States

    Health Care Practice / Quality Opioid Use Disorder

    How Did Medicaid’s 1115 Substance Use Disorder Waivers Increase Medication Treatment for Opioid Use Disorder? Evidence From Eight Waiver States

    October 2025 STEPHAN R. LINDNER JENNIFER HALL BRYNNA MANIBUSAN JORDAN BYERS KYLE HART ANDREA BARON Dennis McCarty K. John McConnell Deborah J. Cohen

    Starting in 2015, states could apply for section 1115 substance use disorder (SUD) waivers to strengthen their continuum of care for treatment of opioid use disorder (OUD). Prior research found substantial variation in changes to medication use for OUD associated with waiver implementation. The objective of this study was to identify strategies that states undertook as part of their waivers that were associated with increases in methadone and buprenorphine treatment in eight waiver states (Indiana, Louisiana, New Hampshire, New Jersey, Pennsylvania, Virginia, Washington, and West Virginia). More

  • Health Equity Reproductive Health

    The Impact of Restrictive State Abortion Laws: State of the Research Evidence in 2025

    October 2025 Paula M. Lantz

    Despite the dynamic and multidimensional nature of the legal landscape for abortion, the negative effects of restrictive state abortion policies are beginning to emerge. More

  • Population Health Public Health

    You Serve at the Pleasure of the President: As Such You are No Longer Wanted or Needed

    October 2025 Lawrence O. Gostin

    Throughout my career, I have chaired and been a member of countless scientific and health policy advisory committees for the federal… More

  • Public Health

    Fluoride in Drinking Water (and Our Brains)

    October 2025 Dalton Conley

    Almost 28 years ago, I became a young, new father. Too young by a couple months, actually, since my daughter was born prematurely. During her… More