Health Care Access

blog

Russia's Frontlines, India's 'Power' Moves, Food Security: RAND Weekly Recap

This weekly recap focuses on dysfunction on Russia’s front lines, India’s regional diplomacy, stopping mass shooters who seek fame, and more.

blog

NATO Summit, Russia's Failures in Ukraine, Vietnam Bans 'Barbie': RAND Weekly Recap

This weekly recap focuses on the NATO summit in Vilnius, Russia’s repeated missteps in Ukraine, why America's superintendents are so stressed, and more.

commentary

Limiting Access to Reproductive Health Care May Undermine National Security

What signal does revoking policies related to improved access to reproductive health care send to young women who are considering the military as a possible path for them? Given an already concerning recruiting environment, can we really afford to further alienate an entire gender when it comes to protecting our national security?

Kyleanne M. Hunter @KyleanneHunter, Sarah O. Meadows @SarahOMeadows

commentary

Bill Would Ban Care for Transgender Veterans; the Scientific and Medical Consensus Tells Us That's a Mistake

The recently released spending bill would prevent the Department of Veterans Affairs from beginning to offer gender confirmation surgery. It would also prevent providers from offering hormone therapy for gender-affirming care. These provisions do not align with the state of the science and medical consensus and would harm vulnerable veterans.

Kayla M. Williams @KWilliams101

essay

A Promising New Program Treats Co-Occurring Mental Health and Opioid Use Disorders

People who have an opioid use disorder and either clinical depression or PTSD are hard to reach, hard to treat, and hard to hold onto. A new collaborative care model called CLARO aims to help patients who otherwise might disappear into the cracks of the U.S. health care system.

blog

Extremism, Medicaid, Florida's 'Don't Say Gay' Law: RAND Weekly Recap

This weekly recap focuses on addressing domestic extremism, managing reductions in Medicaid enrollment, the effects of Florida's “Don't Say Gay” law, and more.

commentary

Can the Health Insurance System Handle Massive Medicaid Reductions?

For many who have or will soon lose Medicaid as monthly redeterminations restart, and for millions more who could lose insurance due to other factors like job loss, three recent policy developments might increase the chances that they find new health care coverage.

Christine Eibner @Chrissyeibner

essay

Mental Health First Aid: Training People to Help Others

An innovative program trains and empowers people to not look away from those experiencing mental illness, but to listen to them, reassure them, and encourage them to get help. Most trainees of the program in New York City were still using what they had learned five years later.

commentary

A Potential Backslide in Mental Health Care for Millions of Americans

The expiration of the COVID-19 Public Health Emergency declaration will have broad-sweeping effects, and one of the most significant is little known: It could begin undoing the expansion of mental health care access for millions of Americans.

Ryan K. McBain @ryankmcbain

commentary

Gender Biases in Health Care: Listen to Women About Their Own Health

More and more information, evidence, and personal stories are emerging suggesting women are not being listened to or believed by health care professionals about their symptoms of physical illness. There is ongoing work in the United Kingdom to improve and integrate women's health services, which creates hope for improvements.

Lucy Hocking

commentary

Informing the Debate About Telemedicine Reimbursement: What Do We Need to Know?

At the start of the COVID-19 pandemic, U.S. payers and policymakers broadly expanded payment for telemedicine services and relaxed many regulations. To decide the long-term fate of pandemic-era temporary telemedicine, policymakers should consider the effects of telemedicine on health care spending, patient outcomes, and health equity.

Ateev Mehrotra, Lori Uscher-Pines

q&a

Abortion After the Dobbs Decision: Q&A with RAND Researchers

The overturning of Roe v. Wade is likely to disproportionately affect vulnerable populations, including U.S. service women and pregnant women with substance use disorders. And abortion misinformation will likely increase. RAND researchers discuss these issues and potential policy responses.

commentary

Tele-Palliative Care Among Underserved Patients: Considerations for Future Research to Ensure Equity for All Patients

Underserved patients have been historically marginalized in health care and may experience extensive barriers to palliative care. Telehealth may be a particularly promising mode of palliative care by engaging patients across long distances and facilitating access to existing palliative care resources.

Julia Bandini, Natalie Ernecoff, et al.

commentary

Telemedicine Abortion? It's Not as Easy as It Sounds

The Supreme Court decision to overturn Roe v. Wade has providers and health advocates strategizing about how to provide more abortions where it is still legal. Expanding virtual medical visits is one popular idea. Policymakers and clinics could take steps to make telemedicine better understood, easier to use, and more equitable.

Zachary Predmore @zspredmore, Julia Rollison @Julia_Rollison

commentary

In Search of an Equity Lens: A Physician's Journey

Patient health outcomes, communication with providers, and overall patient satisfaction improve when patients and providers share a similar background. Further, diverse work environments may positively impact health care provider job satisfaction. Increasing diversity in health care work settings is a first important step that could help to increase equity and inclusion in these environments.

Mahshid Abir