Foreign-educated and foreign-born health professionals fill important gaps in the U.S. health care workforce, but strategic shifts such as changes in immigration laws may be needed to stabilize the nation's health workforce.
Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants.
To make an impact on patient care within a 20-year timeframe, biomedical research funders and policymakers should focus resources on clinical rather than basic research, and support individuals who work across disciplinary boundaries and are motivated by patient need.
Some New York City residents may soon face sharp increases in their flood insurance premiums as a result of major changes occurring in the National Flood Insurance Program and the redrawing of flood maps that expand the areas at risk. Property owners in areas now deemed at highest risk may face increases of $5,000 to $10,000 annually.
Although fair value accounting was blamed by some as the primary cause of the 2008 financial crisis, this was probably not the case. Nevertheless, policymakers should be aware that both fair value and historical cost accounting sometimes can produce misleading information, resulting in both institutional and systemic risk.
Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations, medical practice structures intended to improve medical care and cut costs.
The Affordable Care Act will have a varied impact on health spending by individuals and families, depending primarily on their income and whether they would have been uninsured in 2016 without the program.
The United States still has the economic muscle to shape important aspects of the international environment, but high government debt in the future may undermine its economic instruments of power and its ability to influence global conditions through nonmilitary means.
An analysis of 10 states and the United States overall predicts that there will be no widespread premium increase in the individual health insurance market under the ACA. However, the cost of policies will vary among states and will be influenced by individual factors such as a person's age and whether they smoke.
Improving care for depression in low-income communities — places where such help is frequently unavailable or hard to find — provides greater benefits to those in need when community groups such as churches and even barber shops help lead the planning process.
A new federal law allowing young adults to remain on their parents' medical insurance through age 25 has shielded them, their families, and hospitals from the full financial consequences of serious medical emergencies.
Hospital emergency departments play a growing role in the U.S. health care system, accounting for a rising proportion of hospital admissions and serving increasingly as an advanced diagnostic center for primary care physicians.
The United States should respond to China's increasing sea power in the Western Pacific region by exploiting technology to make its naval forces less vulnerable, while also pursuing regional maritime security cooperation that includes China.
The monetary cost of dementia in the United States ranges from $157 billion to $215 billion annually, making the disease more costly to the nation than either heart disease or cancer.
Expanding Medicaid in Pennsylvania under the Affordable Care Act would boost federal revenue to the state by more than $2 billion annually and provide 340,000 residents with health insurance.
Using zoning laws to shape the type of development and activity that occur in a neighborhood may be one way to reduce crime in urban areas. Single-use commercially zoned blocks in Los Angeles have crime rates that are 45 percent higher than similar blocks that include residential uses.
California health regulators should begin collecting physician identifiers as part of their routine data collection efforts about the services provided at the state's hospitals. Such a move would help providers improve quality by aiding efforts to benchmark performance and reduce variations in the delivery of care.
A federal government corporation and an independent government agency are the two most promising models for a new organization to manage and dispose of spent nuclear fuel and high-level radioactive waste in the United States.
Immigrants who come to the United States from Mexico arrive with a significant amount of undiagnosed disease. About half who have diabetes are unaware they have it and about one-third of those with high blood pressure are unaware of the illness.
In its first six years, an innovative alcohol monitoring program called the South Dakota 24/7 Sobriety Project reduced county-level repeat DUI arrests by 12 percent and domestic violence arrests by 9 percent.