North America

  • Journal Article

    Journal Article

    Section 1332 Waiver Evaluation Report: Evaluating the Alaska Reinsurance Program

    This report documents findings from the evaluation of Alaska's waiver, through which the state implemented the Alaska Reinsurance Program (ARP).

    Mar 29, 2022

  • Journal Article

    Journal Article

    Assessment of Postoperative Opioid Prescriptions Before and After Implementation of a Mandatory Prescription Drug Monitoring Program

    In this study of adult patients who received a postoperative prescription for opioid medication, mandatory consultation with EHR-based alerts was associated with decreases in prescription quantities.

    Mar 29, 2022

  • Journal Article

    Journal Article

    Projected Coverage and Subsidy Impacts If the American Rescue Plan's Marketplace Provisions Sunset in 2023

    An estimated 3 million people currently insured in the individual market would lose coverage and become uninsured if the American Rescue Plan's premium tax credit provisions are not extended beyond 2022.

    Mar 29, 2022

  • A human face outline and painted pattern composition evoking human relationships, mind, psychology, and creativity, image by Andrew Ostrovsky/Adobe Stock

    Report

    How Reasoning and Cognitive Biases Affect the Ability to Resist Truth Decay

    Truth Decay is the diminishing role of facts in American public life. What role do human reasoning processes and cognitive biases play in this phenomenon? And how can these factors affect an individual's resistance or susceptibility to Truth Decay?

    Mar 29, 2022

  • Ukrainian soldiers inspect civilian vehicles they said Russian troops used to create a barrier as they took up a position outside Kharkiv, Ukraine, March 29, 2022, photo by Thomas Peter/Reuters

    Commentary

    The Ukrainian Military Has Defied Expectations. Here Is How U.S. Security Aid Contributed

    Ukraine's military was unprepared and largely ineffective when Russia's military seized Crimea in 2014. By 2022, Ukraine appears to have overcome at least some of the earlier challenges. Did U.S. security assistance make the Ukrainian military more effective?

    Mar 29, 2022

  • An illustration depicting the difference between light and darkness, image by Alyson Youngblood/RAND Corporation

    Q&A

    What You Can Do to Help Stop Truth Decay

    Truth Decay, the diminishing role of facts in American public life, isn't a problem that any one person can fix. But there are simple steps that individuals can take to help counter it.

    Mar 29, 2022

  • Blog

    Insights on Russia's War in Ukraine, Global Citizenship, Vaccination Equity: RAND Weekly Recap

    This weekly recap focuses on Russia's war on Ukraine, medication treatment for patients with opioid use disorder, promoting global citizenship in America, and more.

    Mar 25, 2022

  • A world map superimposed over people's raised hands, photo by Rawpixel/Getty Images

    Report

    Advancing Global Citizenship in America

    Concerted international action is required to address climate change and sustainability, pandemics, global security, and economic growth. But such action requires a sense of common destiny and shared responsibility among people across nations. What are Americans' attitudes toward global issues, and what could encourage them to become citizens of the world?

    Mar 24, 2022

  • Japanese Ground Self-Defense Force amphibious rapid deployment unit conducts a drill on Tanegashima Island, November 25, 2021, photo by Kyodo via Reuters Connect

    Commentary

    Japan's Wake Up Call

    Russia's invasion of Ukraine has drawn concern and comparison to what China may have in mind for Taiwan. Given China's history of provocations, it could behoove Japanese leaders to devote renewed attention to how they would deal with a Taiwan crisis, especially as it could include an attack on Japan.

    Mar 24, 2022

  • Student Maria Melendez sets up equipment to collect public wastewater samples from the University of Oklahoma campus to test for COVID-19 in Norman, Oklahoma, April 9, 2021, photo by Chris Landsberger/The Oklahoman/USA Today Network via Reuters

    Commentary

    National Wastewater Tracking Could Help Us Stay Ahead of COVID-19—but Congress Cut the Funds

    For years, medical experts have used wastewater to track the spread of diseases. The National Wastewater Surveillance System has the potential to significantly change the way we fight COVID-19 as well as future pandemics, bacterial diseases, and viruses. But building up the robustness of a wastewater surveillance system will take financial support, and it's not clear Congress will provide it.

    Mar 24, 2022

  • Report

    Report

    Evaluation of Los Angeles County's 2021 WhyWeRise Mental Health Campaign

    RAND researchers describe a survey conducted to evaluate the reach and impact of a 2021 Los Angeles County social marketing campaign promoting awareness of county mental health resources and communicating messages of resilience, support, and hope.

    Mar 23, 2022

  • An artist rendering of the future Columbia-class ballistic missile submarine, illustration by U.S. Navy

    Commentary

    Making AUKUS Work

    In September 2021, President Biden announced the creation of AUKUS, a trilateral, experimental arrangement among the United States, Australia, and the United Kingdom focused on defense technology. The barriers to success are numerous but the partnership could offer significant opportunities.

    Mar 22, 2022

  • U.S. Marine Corps High Mobility Artillery Rocket Systems with 3d Battalion, 12th Marines, 3d Marine Division simulate live-fire missions during Exercise Talisman Sabre 2021 at Shoalwater Bay Training Area, Queensland, Australia, July 15, 2021. TS21 supports the U.S. National Defense Strategy by enhancing our ability to protect the homeland and provide combat-credible forces to address the full range of potential security concerns in the Indo-Pacific, photo by Lance Cpl. Ujian Gosun/U.S. Marine Corps

    Report

    Establishing a Sovereign Guided Weapons Enterprise for Australia

    Australia's 2020 Defence Strategic Update calls for increased weapon inventories across the Australian Defence Force. How can Australia's creation of a Sovereign Guided Weapons Enterprise be informed by comparable international case studies?

    Mar 21, 2022

  • Soldiers from the Rapid Response Forces Division during the NATO exercise GREEN GRIFFIN 21 in Lehnin, Germany, October 4, 2021, U.S. Army photo by Michele Wiencek

    Commentary

    Europe After the Ukraine War

    Russia's invasion of Ukraine has generated a massive backlash that is likely to endure even if the guns fall silent. What are the longer-term implications for Europe, and how will it affect European energy policy, military preparedness, and overall unity?

    Mar 21, 2022

  • Soldiers of China's People's Liberation Army Navy patrol at Woody Island, in the Paracel Archipelago, January 29, 2016, photo by China Stringer Network/Reuters

    Commentary

    Taiwan Isn't the Ukraine of the Indo-Pacific. Try Vietnam Instead

    Russia's war in Eastern Europe has prompted Indo-Pacific security watchers to draw comparisons between Ukraine's plight and that of Taiwan with regard to China. But the more-applicable analogy is a different Indo-Pacific country: Vietnam.

    Mar 21, 2022

  • Tool

    Tool

    Mid-Atlantic Regional Climate Impacts Summary and Outlook: Winter 2021–2022

    This climate summary aims to inform Mid-Atlantic policymakers and practitioners about winter 2021–2022, regional climate trends, and the upcoming winter season. A tool shows an analysis of future projected changes in precipitation, compared to climate normals.

    Mar 18, 2022

  • Blog

    Keeping Russians Informed, No-Fly Zone Policy, Telehealth: RAND Weekly Recap

    This weekly recap focuses on how to ensure Russians have access to accurate news about the war in Ukraine, strategic considerations for keeping a no-fly zone option on the table, treating pain conditions among U.S. service members, and more.

    Mar 18, 2022

  • Taiwanese soldiers walk down a street in this undated photo posted to Twitter on March 11, 2022 by Taiwanese President Tsai Ing-wen, photo courtesy of the Office of the President of Taiwan

    Commentary

    What the Invasion of Ukraine Might Teach Us About a Potential Taiwan Crisis

    Chinese leaders are learning from the conflict in Ukraine, not just by observing Russia's actions, but also the West's response. By also learning from the conflict, the United States, Taiwan, and other like-minded partners can help ensure that Beijing comes away from the current crisis with a greater appreciation of the risks that attacking Taiwan would entail.

    Mar 17, 2022

  • Journal Article

    Journal Article

    POLST Completion and Continuity in California Nursing Homes

    We used MDS 2011–2016 linked to California Section S to describe POLST completion, cardiopulmonary resuscitation and do not resuscitate orders, invalid POLST documents, and switches in POLST content across the population of California NH residents.

    Mar 16, 2022

  • Journal Article

    Journal Article

    Care Preferences in Physician Orders for Life Sustaining Treatment in California Nursing Homes

    Physician Orders for Life-Sustaining Treatment (POLST) facilitates documentation and transition of patients' life-sustaining treatment orders across care settings. We describe the orders within POLST among all nursing home residents in California from 2011 to 2016.

    Mar 16, 2022