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Twenty-seven years ago almost to the day, a deeply split United States Supreme Court, in Rust v Sullivan, (500 US 173, decided May 23, 1991) endorsed… More

Physicians have long been quick to point out the social contract they have with their patients and the community in which they live. Sadly, several… More

The spectacular failure of the “repeal and replace” Obamacare saga that collapsed in July offers an opportunity to reflect. A political and policy… More

From the moment they appeared, Affordable Care Act (ACA) regulations establishing birth control as a guaranteed insurance benefit have endured a legal… More

In March, the US Supreme Court decided Endrew F. v Douglas County School District, which clarifies the rights of children with disabilities under the Individuals with Disabilities Education Act (IDEA). Endrew was closely watched in the education and health policy community. The case, which challenges the adequacy of the special education services provided to a child with severe autism, overturned the legal standard applied by the lower court in reviewing the adequacy of the school system’s services. More

Ever since the 2010 signing of the Affordable Care Act (ACA), conservatives have objected to the law on the grounds that it infringes on the freedom of Americans. Much of this criticism has centered on the ACA’s individual mandate, a requirement which, with some exceptions, imposes a fee on those who do not purchase health insurance. The Republicans’ replacement plan, unveiled last week, would eliminate the individual mandate, and has been touted as a means of returning freedom to consumers. More

As Congress ramps up its effort to repeal the Affordable Care Act (ACA), the Trump administration is expected to launch a separate drive to downsize the law through executive action. As with all complex statutes, the ACA vests considerable powers in the executive branch to interpret, implement, and enforce its provisions. More

The story of Flint is a classic case of the dual legacies of public health, one rooted in advocacy and aligned with community residents and activists, and the other protecting the interests of state bureaucracies using their own image as scientists. More

On May 12, federal judge Rosemary Collyer handed the House of Representatives a victory in House of Representatives v Burwell. Judge Collyer ruled that the Administration cannot make the cost-sharing payments it owes to marketplace health plans because Congress has never appropriated the funds necessary to make such payments. To understand why this decision is so consequential, one needs to understand the operation of the ACA. More

Although the country remains in the run-up period to the political conventions, it is already clear that health care is going to play a very different and smaller role in the primaries and in the presidential election than it has in previous years. Where do the candidates and their parties stand right now on health care? More