Category Archives: Health policy

Medical Care Update: Incoming Chair’s Message

By | December 13, 2024

Hi, My name is Dr. Ben King and I’m the new Chair of the Medical Care section of the American Public Health Association (APHA). I am beyond excited about what the next couple of years have in store for us as a professional organization. I also recognize that we are entering a time of immense… Read More »

Women’s Health is More than Just Reproductive Health

By | December 2, 2024

Women’s health is a broad and multifaceted concept that extends far beyond reproductive anatomy and sexual health. Historically, the focus of women’s health care and research has centered on reproduction, often overshadowing other critical aspects of physical and mental health and wellness. However, women’s health encompasses a wide array of issues, from cardiovascular and autoimmune… Read More »

Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits

By | November 8, 2024

*This post was originally published on KFF Health News on November 8, 2025. It is published with open permission by that site. A new federal watchdog audit is ratcheting up pressure on government officials to crack down on billions of dollars in overcharges linked to Medicare Advantage home visits. But so far, the Centers for Medicare & Medicaid… Read More »

Presidential Election Puts Affordable Care Act Back in the Bull’s-Eye

By | October 25, 2024

Note: The 2024 election wraps-up in short order. KFF once again published a thoughtful analysis of competing positions on health care–in this case the Affordable Care Act. And we are republishing that here. Enjoy. -The Editors Health care is suddenly front and center in the final sprint to the presidential election, and the outcome will… Read More »

Compare the Candidates on Health Care Policy

By | October 10, 2024

Note: It’s election season. And time to take a look at the health policy positions of the presidential candidates. KFF published this thorough and well-sourced analysis of the candidates’ competing positions on everything from health care and abortion to public health and gun violence. Enjoy. -The Editors The general election campaign is underway, spotlighting former… Read More »

4 Ways Vaccine Skeptics Mislead You on Measles and More

By | December 13, 2024

This post was originally published on KFF Health News. It is published with open permission by that site. Measles is on the rise in the United States. In the first quarter of this year, the number of cases was about 17 times what it was, on average, during the same period in each of the four… Read More »

Be a Little Less of an Individual: On Climate Change with Bill McKibben

Caring about the environment can feel like an uphill battle, where our individual efforts can seem small against the colossal issue of climate change. But working together–being just a little less of an individual in this battle–can feel uplifting and make a more significant difference. Environmental activist and author, Bill McKibben, joined Cal State LA’s… Read More »

Every Little Bit Helps: On Climate Change and Hope With Sammy Roth and Caleigh Wells

Every little bit helps.  That is one of the key messages from our conversations on public health, climate change and hope with climate journalists Sammy Roth and Caleigh Wells. Each visited California State University Los Angeles as part of our Department of Public Health’s annual book read. All faculty and students in the department received… Read More »

Private In-equity: Whose Interests Do We Serve?

The pharmaceutical industry is a behemoth in the United States. In 2023, the 20 largest pharmaceutical companies had a market capitalization of $3.78 trillion dollars. Pharma companies spent more than $15 million dollars in contributions through political action committees during the 2020 election cycle. Analysts constantly see new avenues of generating revenues and profits for… Read More »

A Series on Climate Change and Hope

By | June 28, 2024

Climate change is undeniably a bleak story. Recent data–from the top of a remote volcanic mountain–show that carbon dioxide is accumulating in our atmosphere faster than ever. Its concentration has reached levels far beyond those in any other time of human existence. This bad news is balanced, however, against a highly-regarded good news report that… Read More »

Food is Medicine – and Should Be Treated Like It

By | June 7, 2024

Food is life. A consistent, nutritious diet can improve overall health and protect against chronic conditions. But not everyone can access or afford a nutritious diet. In 2022, 1 in 8 households in the U.S. and 1 in 6 households with children were food insecure. Black and Latinx households experience more than double the rates… Read More »

Protecting Black Maternal Health Through Provider Diversity, Innovative Programs

By | May 30, 2024

Research shows time and again that Black women are at least three times more likely to die from a pregnancy or childbirth-related cause than white women. Black infants are also over two times more likely than white babies to die before they turn one. Research also shows that people identifying as Black or African American… Read More »

Selling Fear at a High Price

By | May 23, 2024

I asked the question as a panelist at a health equity gathering, “Who does our health system serve?”. As a family medicine physician who sits perilously between patients and corporations (insurance, pharmaceutical, durable medical equipment, etc.), my answer was quite simple. Our health system serves the profit motives of those with hands in the jar.… Read More »

Post-Dobbs Situation Report

By | May 16, 2024

Abortion Bans Are Driving Off Doctors and Closing Clinics, Putting Basic Health Care at Risk The rush to ban abortion in some US states after the overturn of Roe v. Wade is resulting in a startling consequence that abortion opponents may not have considered: fewer medical services available for all women living in those states.… Read More »

Alabama embryo ruling threatened access to IVF across the state and possibly nationwide

By | May 9, 2024

After seemingly endless negative pregnancy tests and a few early losses after rounds of alternate fertility treatments, I felt that in-vitro fertilization (IVF) was my only hope of becoming a mother. As I saw others conceiving naturally, or succeeding relatively quickly with less invasive assisted methods, my longing and desperation for motherhood only grew. I… Read More »

Impacts of Climate Change on Health and Health Care Utilization

By | May 2, 2024

For new readers, the editors and the majority of contributors to The Medical Care Blog recently authored and signed onto a special consensus statement about climate change, labeling it the “greatest threat” to global public health. As part of the plan to publish that statement, we also declared that the drivers and health risks of… Read More »

Tell Me a Good Story: The Value of Stories in Health Services Research

By | April 19, 2024

I am a health economist, trained to make sense of messy data. I generally work amidst a sea of numbers. But I’ve found that seeking out stories in health services research–those of doctors and patients–can help me anchor what’s truly important in research. These stories may also help researchers communicate the value of their work… Read More »

Racial/Ethnic Concordance and Doctor Communication

By | March 14, 2024

Patient-provider racial/ethnic concordance (i.e., physician and patient identify as the same race/ethnicity) has emerged as one key suggestion for mitigating healthcare disparities. Past research has underlined its benefits, including improved infant mortality and more appropriate prescription regimens. However, the sum of the evidence remains unclear and many facets of the patient-provider relationship have yet to… Read More »

Health Equity in the Time of Hospital Consolidation

By | March 7, 2024

Competition between hospitals in a given market should provide incentives to ensure quality while also lowering costs. Over the past two decades, hospital markets have increasingly consolidated. This consolidation reduces competition and increases the comparative leverage that hospitals and associated health systems have. While there are some theoretical advantages of increased consolidation such as potential… Read More »

Healthy Intersections Podcast: Healthcare’s Carbon Footprint

By | February 28, 2024

If the US healthcare industry were its own country, it would be in the top 10% of all countries in greenhouse gas emissions. Welcome to the February, 2024 edition of the Healthy Intersections Podcast! This month, we sit down with David Introcaso, PhD, to discuss the healthcare industry’s carbon footprint. Dr. Introcaso is the host… Read More »

History of Climate Policy and Advocacy by the American Public Health Association

By | February 23, 2024

In January, the Medical Care Blog’s editors published a consensus statement on climate policy and health. This statement was co-signed by many of our authors, editors, and editorial board members of the Medical Care journal. As we look ahead to our focus theme for 2024, we want to begin with a look backward as well.… Read More »

Trending Toward Medicare Advantage for All

By | January 18, 2024

Medicare for All is Not Happening… 10 years from now will we have Medicare Advantage for All? Grandmother and granddaughter in the same health plan? Others have written that the US should achieve universal health insurance coverage, better health outcomes, and lower costs via comprehensive programs such as “Medicare for All”, as proposed by Senator… Read More »

Climate Change and Public Health Consensus Statement

From The Medical Care Blog: A special consensus statement on climate change and public health In 2021, more than 250 of the world’s leading medical and public health journals released a joint statement about climate change and public health. Published simultaneously, editorial boards of the journals declared climate change to be the “greatest threat” to… Read More »

Yearning for Change: Youth Activism and Civic Engagement in Public Health

By | December 21, 2023

The need for youth activism and civic engagement in public health has never been greater. A mentor once said, “When public health is doing its thing, you will never hear a word about it.” But today, the profession doesn’t have that luxury. We must act if we want public health to remain a strong and… Read More »

Health Plans With Deductibles See Lower Lung Cancer Screening Rates

By | November 22, 2023

The United States Preventive Services Task Force has recommended lung cancer screening for at-risk groups since 2013, and updated again in 2021. This is a simple procedure involving a low dose of radiation used to take a CT image of the chest. If utilized by most eligible Americans, screening could reduce lung cancer mortality by… Read More »

A Significant Step Toward Single Payer Health Care in California

By | October 26, 2023

California just took a significant step toward single payer health care. On Oct 7, Governor Gavin Newsom signed Senate Bill 770 (Unified Health Care Financing) into law. Introduced by Senator Scott Wiener (D-San Francisco), the law directs the Secretary of the California Health and Human Services Agency to research, develop and pursue a waiver framework… Read More »

Beyond COVID and Opioids: Contextualizing Life Expectancy Decline in the United States

By | September 18, 2023

This entry was one of the winners of our Summer 2023 student blog contest! Trends in Life Expectancy The recent decline in life expectancy in the United States is largely attributed to the well-known COVID-19 pandemic and opioid epidemic. However, these recent crises are not the sole drivers of the stagnation and subsequent drop in… Read More »

Negative Health Outcomes of American Anti-LGBTQ Laws

By | September 8, 2023

This entry was one of the winners of our Summer 2023 student blog contest! Anti-LGBTQ laws are flooding the United States. As of June, a historic 491 anti-LGBTQ bills have been introduced in 2023 – a 203% increase from the entire 2022 year. More bills were introduced in the first three months of 2023 than… Read More »

Reducing the Harms of Substance Use: Lessons From Abroad

By | July 4, 2023

The way we’re addressing substance use and overdoses in the United States isn’t working. Let’s be perfectly clear: the “war on drugs” isn’t, and never was, really a war on drugs. It’s been a war waged on communities who are Black, Indigenous, and People of Color (BIPOC). The war on drugs started well before President… Read More »

Public Health Saved Your Life Today: Insight From Dr. Leana Wen

Public health saved your life today, but you probably didn’t know it. That was one of the valuable take-home messages from Dr. Leana Wen, when she spoke to public health students and early career professionals at California State University Los Angeles. Dr. Wen was the culminating speaker in our semester-long series on public health leadership.… Read More »

Don’t Wait to Lead: A Conversation with Dr. Chris Chanyasulkit

Don’t wait to lead. That is a key message from Dr. Chris Chanyasulkit, the president of the American Public Health Association (APHA). And it resonates with many students and early career professionals anxious to make a change. Our conversation with Dr. Chanyasulkit was the first in a series on public health leadership. The Department of… Read More »

Designing From the Margins to Advance Equity

By | May 2, 2023

“Access for the sake of access or inclusion is not necessarily liberatory, but access done in the service of love, justice, connection, and community is liberatory and has the power to transform.” – Mia Mingus, community organizer, disability and transformative justice advocate  Are you designing with equity and inclusion in mind? For public health and… Read More »

Medicare Advantage Should Be Making News

By | March 3, 2023

Medicare Advantage should be making news. It’s not because the Medicare trust fund continues to run on fumes, which it does. Nor is it because Medicare was taken “off the table” in recent debates about cutting the federal budget, which it was. Rather, it should be getting a lot of attention for new data about its… Read More »

Is It Time for Medicaid-For-All?

By | February 1, 2023

It isn’t what supporters of single-payer health care might prefer. But a Medicaid-for-all program, based on the already expansive safety-net program, might open new doors to universal coverage. And rising familiarity with the program is creating a window of opportunity. My realization began with several conversations First, it was a friend going through a divorce… Read More »

Reporting detention-related harms

Community-based clinicians sometimes see patients who have been recently released from immigration detention. Those encounters can be challenging, especially when patients reveal health harms experienced while in detention. It is obviously critical that clinicians provide high-quality medical care and address any health issues potentially brought about or exacerbated by their detention history. But do they… Read More »

December 2022 Healthy Intersections Podcast

By | December 8, 2022

In this month’s podcast, co-editor Jess Williams recaps blog posts from November and talks about some December journal articles. Listen here or wherever you get your podcasts. Transcription Welcome back to Healthy Intersections, the podcast of themedicalcareblog.com. In this month’s episode, I’ll review some of our blog entries from November and give you a preview… Read More »

November 2022 Healthy Intersections Podcast

In this month’s podcast, Dr. Samy Anand gives an overview of The Medical Care Blog posts published in October and a preview of the journal articles in the November issue of Medical Care. Then, co-editor of the blog, Dr. Gregory Stevens, discusses the results of the midterm election and the results of ballot measures relevant to… Read More »

APHA Annual Meeting 2022 Preview

By | November 4, 2022

It’s that time of year again–APHA’s Annual Meeting! This year we’ll be meeting in Boston Nov. 6-9 with a digital event Nov. 14-16. I’m looking forward to seeing colleagues this year and getting to catch up with so many interesting people. Of course, I’m also excited about the excellent Medical Care Section Program. Here’s a… Read More »

Public health is (once again) on the ballot

By | November 29, 2022

The 2022 midterm elections are upon us. And public health is once again prominent on the ballot. Think back to the 2020 presidential election and just how stark a contrast Joe Biden and Donald Trump presented on COVID-19, climate change, and the Affordable Care Act. This year is no different. Voters across the country are choosing… Read More »

Early Access vs. Proven Efficacy: FDA’s Accelerated Approval Process

By | October 24, 2022

A recent JAMA article noted that only one-third of new drug approvals through the accelerated approval process by the FDA in the US or the conditional marketing authorization in the EU have shown therapeutic value.  Many of these drugs are high cost, and this begs the question if we are spending our health care dollars appropriately. … Read More »

The Medicaid Outcomes Distributed Research Network MODRN [Podcast]

By | October 10, 2022

The Medicaid Outcomes Distributed Research Network (MODRN) was started by AcademyHealth and is a collaborative research network of state Medicaid agencies and university partners. The goal of the network is to allow analysis and learning about Medicaid by facilitating comparison across states and aggregate data with a shorter lag time than other available sources.  This… Read More »

Healthy Intersections Podcast: September 2022

By | October 10, 2022

On this month’s episode of the Health Intersections Podcast, Samy Anand from the Medical Care Section recaps last month’s blog posts and previews September’s issue of the Medical Care journal. Check out these great reads. Next, Jess Williams, co-editor of the blog and podcast, interviews Dr. Cheryl Conner who is a Clinical Associate Professor at… Read More »

Becoming Adept at Policy in Health Advocacy

The pursuit of health equity requires public health and medical professionals to become adept at policy in their health advocacy work. The American Public Health Association (APHA), in fact, defines policy work as one of its 10 essential public health services. APHA says professionals should be capable of “creating, championing and implementing policies, plans and laws”.… Read More »

Medicare Will Negotiate Prescription Drug Prices…In Four Years

By | August 25, 2022

In 2026, Medicare will negotiate prescription drug prices with manufacturers. It is a dramatic reversal of a stranglehold placed on Medicare back in 2003. And it may be one of the most impactful policy changes to the government program since its creation. But there is a catch…we have to wait. President Biden signed the Inflation Reduction… Read More »

Retrospective: On Prescription Drugs

By | August 22, 2022

The Medical Care Blog is preparing for its full return later this month. Until then, we are continuing to highlight articles published by our contributors on timely topics. A federal bill is pending that would allow Medicare to begin negotiating drug prices for the very first time. Even though it would begin with only 10… Read More »

Retrospective: On Reproductive Health Care

By | August 4, 2022

The Medical Care Blog is returning from its summer break this month. We hope you are feeling recharged and ready to dig deep again into health care and public health. We’re beginning with a series of retrospective posts to highlight the work of our contributors on prominent topics. This week, we focus on a collection… Read More »

APHA Calls for Single-Payer Health Reform

By | July 6, 2022

It is not too late to fix the US healthcare system. But every day spent in this folly, the problem gets worse. It is time to move this conversation forward. We are excited to share that in November 2021, the American Public Health Association (APHA) formally adopted a policy statement titled “Adopting a Single-Payer Health… Read More »

Ethical research using government administrative data

By | June 16, 2022

As a public health researcher, I love data, the more the better. I held this belief until I found that I myself had become the “subject” of research without my consent. This experience made me rethink ethical research. The more data, the better? In 2017, I encountered a state-level bill that required all the government… Read More »

Fixing Health Care: A Health Care Revolt Begs Five Big Questions

In a previous post, we shared highlights from an event about fixing health care featuring Dr. Michael Fine, a family medicine physician, former public health official, and the author of Health Care Revolt. The faculty of the Department of Public Health at California State University Los Angeles led the event as part of a department-wide book read.… Read More »

Whole Person Health: A Path to Health Equity (Part 2)

In our first blog post of this series, we discussed how the current medical approach misses so much of what influences health, and how it perpetuates health inequities in our society. In this post, we go in-depth on the elements of Whole Person Health (WPH) that are necessary components of a just and equitable approach… Read More »