Journal of Health Politics Policy and Law最新文献_第3页

LGBTQ+ Health, Policy & Politics: Advances, Challenges and Potential Opportunities. LGBTQ+健康、政策与政治：进步、挑战和潜在机遇。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995168

Kevin H Nguyen, Leesh Menard, Heidi Allen, Gilbert Gonzales

{"title":"LGBTQ+ Health, Policy & Politics: Advances, Challenges and Potential Opportunities.","authors":"Kevin H Nguyen, Leesh Menard, Heidi Allen, Gilbert Gonzales","doi":"10.1215/03616878-11995168","DOIUrl":"10.1215/03616878-11995168","url":null,"abstract":"The landscape of politics and policies that impact the health and wellbeing of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) people in the United States has evolved substantially in the last fifty years. Tracing its roots back to the 1960s, the LGBTQ+ rights movement has often relied on health as an organizing principle to advance progress through advocacy, research, and public policy. In this article, the authors present the evolution of LGBTQ+ data collection and health policy research - with particular attention to nationwide marriage equality, the Affordable Care Act, and access to transgender-inclusive health insurance coverage - and then discuss the possible future trajectories of LGBTQ+ inclusion and equity. The authors also reflect on the pendulous trajectory of LGBTQ+ rights and progress, which has oscillated between incremental advancements and reactionary periods of regression. Ultimately, through decades of grassroots organizing, advocacy, legal battles, and shifts in public opinion, the LGBTQ+ community's visibility and acceptance has grown. Concurrently, the body of LGBTQ+ specific health research has proliferated and informed policies that have meaningfully improved the health and wellbeing of LGBTQ+ people. While the country is currently in an era of substantial policy retraction, the authors remain hopeful about the next fifty years.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Evolution of Long-Term Care and Health Policy in the United States. 美国长期护理和健康政策的演变。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995144

Rachel M Werner, Allison K Hoffman, R Tamara Konetzka

{"title":"The Evolution of Long-Term Care and Health Policy in the United States.","authors":"Rachel M Werner, Allison K Hoffman, R Tamara Konetzka","doi":"10.1215/03616878-11995144","DOIUrl":"10.1215/03616878-11995144","url":null,"abstract":"Long-term care policy has been neglected for decades in the U.S. due to high costs, leaving middle-class families struggling to afford care. Many rely on unpaid caregivers, who face significant financial and emotional burdens. Historically, long-term care was a family or community responsibility, but in 1965, with the creation of Medicare and Medicaid, Medicaid became the default payer of long-term care, but only supports low-income individuals and does so incompletely. Medicare pays for long-term care only incidentally and temporarily by providing post-acute care in nursing homes and at home. Private insurance is rare due to affordability and policy constraints. Unpaid caregivers fill in the gaps. While the system has evolved over time, most notably shifting from institutional settings to home-based settings, significant gaps remain. The result is a fragmented system that does not work well for most people. It is possible to reform long-term care through options including expanding Medicaid coverage, incorporating long-term care into Medicare, or creating a new social insurance program. Each option requires significant government funding and political commitment. Without action, the current system will continue to fail aging individuals and their families.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Upended Politics of Abortion in the United States: New Directions for Health Policy Research. 美国被颠覆的堕胎政治：健康政策研究的新方向。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995128

Marian Jarlenski

{"title":"The Upended Politics of Abortion in the United States: New Directions for Health Policy Research.","authors":"Marian Jarlenski","doi":"10.1215/03616878-11995128","DOIUrl":"10.1215/03616878-11995128","url":null,"abstract":"The 2022 Supreme Court decision in Dobbs rescinded the federal right to abortion in the United States, paving the way for an unprecedented wave of new state policies to restrict or criminalize, or, conversely, protect or create new state rights to abortion care. This transformed legal understanding has upended the politics of abortion in the US, raising the question for policy and politics researchers of how to move forward in an increasingly authoritarian era. In this reflective essay, I begin with an overview of the Reproductive Justice framework, suggesting it as a new norm for reproductive health policy research. I briefly review and summarize pre-Dobbs research on state policies related to Reproductive Justice constructs - the right to be pregnant, to not be pregnant, and to parent in a supportive environment. Building on the foundation of this prior research, I discuss the role of federalism in abortion policy going forward and propose a framework for future research. I conclude that reproductive health policy research should include the study of the interaction of policies and systems to wholistically consider the role of abortion policy in shaping health and social outcomes.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Shifting Federal and State Policy Landscapes for Health Insurance Coverage of Noncitizen Immigrants: Where Are We Thirty Years After PRWORA? 非公民移民健康保险覆盖的联邦和州政策格局的变化：PRWORA三十年后我们在哪里？

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995160

Arturo Vargas Bustamante, Alexandra C Rivera González, Aresha Martinez-Cardoso, Clara B Barajas, Maria-Elena Young, Alexander N Ortega

{"title":"The Shifting Federal and State Policy Landscapes for Health Insurance Coverage of Noncitizen Immigrants: Where Are We Thirty Years After PRWORA?","authors":"Arturo Vargas Bustamante, Alexandra C Rivera González, Aresha Martinez-Cardoso, Clara B Barajas, Maria-Elena Young, Alexander N Ortega","doi":"10.1215/03616878-11995160","DOIUrl":"10.1215/03616878-11995160","url":null,"abstract":"Since the 1996 passage of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), states have taken different approaches to noncitizen health coverage. California and Illinois expanded access using state funds, driven by policy innovation and advocacy coalitions, while Texas and Georgia maintained restrictive policies that reflected conservative politics and fiscal concerns. This study used the Policy Diffusion and Policy Contexts frameworks to analyze PRWORA influence on state decisions on immigrant health coverage. By examining the policy trajectories of California, Illinois, Texas, and Georgia, we highlighted the growing fragmentation in immigrant health coverage. The study reviewed trends in health insurance and Medicaid enrollment among noncitizens from 2008 to 2023 using data from the American Community Survey (ACS) and a RAND cost estimation tool. California and Illinois showed greater improvements in insurance coverage and Medicaid enrollment, while Texas and Georgia had lower gains. We found that restrictive policies led to higher uninsured rates and different tradeoffs in terms of cost and potential enrollment of noncitizens into Medicaid. Future policy developments will likely be influenced by federal policy changes, demographic shifts, and advocacy efforts. Understanding these dynamics is important for addressing disparities in immigrant health care access and informing policy debates.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introduction: JHPPL at 50. 简介：JHPPL 50岁。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-12010700

Jonathan Oberlander, Sarah E Gollust

引用次数: 0

Stable, But Weak: Fifty Years of U.S. Illicit Drug Policy from Nixon to Trump and Beyond. 稳定，但软弱：从尼克松到特朗普及其后的五十年美国非法毒品政策。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995184

Brendan Saloner, Sachini Bandara, Alene Kennedy-Hendricks

{"title":"Stable, But Weak: Fifty Years of U.S. Illicit Drug Policy from Nixon to Trump and Beyond.","authors":"Brendan Saloner, Sachini Bandara, Alene Kennedy-Hendricks","doi":"10.1215/03616878-11995184","DOIUrl":"10.1215/03616878-11995184","url":null,"abstract":"Since Nixon's 1971 declaration of a \"war on drugs,\" federal drug policy has been built around a patchwork of institutions that have remained relatively stable despite massive changes in the drug market and drug-related harms, changing cultural norms, and structural changes in social and economic policies. Paradoxically, we argue that this apparent stability arises from a lack of consensus about the nature of drug use and addiction in both elite and public opinion (ideological fragmentation), leaving a modest consensus around law enforcement and, to a lesser extent, public health programs. Drug-related issues have spread into other domains of policy such as child welfare, immigration, food assistance, and general health care, where there is often vigorous contestation around the diverging goals of programs and services (policy sprawl). Support for programs and policies have also devolved to state and local governments. An unraveling of the Nixonian consensus may be underway, however, accelerated by diminished confidence in public health programs and looming cuts to federal funding for drug treatment and prevention programs. Future directions remain uncertain, but the immediate outlook suggests a retreat toward more individualistic and market-driven approaches.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Changing Role of the Government in American Health Law. 美国卫生法中政府角色的转变。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995136

Rachel E Sachs, Allison K Hoffman

{"title":"The Changing Role of the Government in American Health Law.","authors":"Rachel E Sachs, Allison K Hoffman","doi":"10.1215/03616878-11995136","DOIUrl":"10.1215/03616878-11995136","url":null,"abstract":"The role of the government in shaping health law and health care in the United States has evolved dramatically over the last sixty years. At some moments, including in its administration of Medicare and Medicaid as initially established, the government took on a market participant role and was responsible for financing care for beneficiaries. With this role came heightened regulatory reach over hospitals, doctors, and other healthcare industry participants. In other areas, including in its oversight of private insurance, the government has served as a regulator. Over the last several decades, however, these two conceptions of the role of the government have blurred. The role of the private sector in federal programs like Medicare and Medicaid has expanded, while simultaneously the government has increasingly financed and regulated private insurance, including through the Affordable Care Act. When this evolving role is understood in conjunction with political and legal shifts, including reduced judicial deference to administrative agencies and state-level preemption, it illuminates that the government's regulatory power may be constrained going forward. This article describes the evolution of healthcare financing and regulation, this evolution's consequences for health law in light of the larger legal context, and suggests what might lie ahead.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Public and Health (Mis)information: What Polling Tells Us about Where We've Been and Where We Might Be Going. 公共和健康（错误）信息：民意调查告诉我们我们去过哪里和我们可能去哪里。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995152

Elizabeth Hamel, Alex Montero, Mollyann Brodie

{"title":"The Public and Health (Mis)information: What Polling Tells Us about Where We've Been and Where We Might Be Going.","authors":"Elizabeth Hamel, Alex Montero, Mollyann Brodie","doi":"10.1215/03616878-11995152","DOIUrl":"10.1215/03616878-11995152","url":null,"abstract":"In 2021, U.S. Surgeon General Vivek Murthy issued an advisory, calling health misinformation \"a serious threat to public health\" and urging all Americans to help slow its spread. The public appears to agree; a 2023 KFF poll found three-quarters viewed the spread of false and inaccurate health information as \"a major problem\" (Lopes et al. 2023). While health misinformation has gained significant attention since the COVID-19 pandemic, the public's understanding of complex health issues has long been a challenge. In this essay, we reflect on over 30 years of polling to offer perspectives on how the public accesses, evaluates, and uses health information, and what recent trends may suggest about the future of the health information (and misinformation) environment. We start by examining public knowledge gaps on health and the role of partisanship in national health debates. We then look at how sources of health information have changed over time alongside declines in trust of information from government health agencies. We end by examining the current era of health misinformation, focusing on widespread uncertainty among the public and how increasing use of social media and emergent technologies have the potential to further complicate the landscape of health information and trust.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public Health Insurance Coverage for Immigrants during Pregnancy, Childhood, and Adulthood: A Discussion of Relevant Policies and Evidence. 孕期、儿童期和成年期移民的医疗补助/医疗保险覆盖范围：相关政策和证据讨论》。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-04-01 DOI: 10.1215/03616878-11567684

Laura R Wherry, Rachel E Fabi, Maria W Steenland

{"title":"Public Health Insurance Coverage for Immigrants during Pregnancy, Childhood, and Adulthood: A Discussion of Relevant Policies and Evidence.","authors":"Laura R Wherry, Rachel E Fabi, Maria W Steenland","doi":"10.1215/03616878-11567684","DOIUrl":"10.1215/03616878-11567684","url":null,"abstract":"Context: Despite major expansions in public health insurance under Medicaid and the Children's Health Insurance Program over the last 60 years, many immigrants remain ineligible for coverage.Methods: The authors discuss the existing federal and state policies that extend public health eligibility to low-income pregnant immigrants, children, and nonelderly adults. They also conduct a literature review and summarize quasi-experimental evidence examining the impact of public health insurance eligibility expansions on insurance coverage, health care use, and health outcomes among immigrants.Findings: Public health insurance eligibility for immigrants varies widely across states because of the implementation of different federal and state policy options. Previous studies on expanded eligibility identified positive effects on insurance coverage and health care utilization among pregnant and child immigrants as well as some evidence indicating improved health outcomes. Additional research is required to understand the longer-term impacts of expanded coverage and to examine impacts of recent state expansions for adults.Conclusions: A complicated patchwork of federal and state policies leads to major differences in immigrant access to publicly funded insurance coverage across states and population groups. These policies likely have important implications for immigrant access to health care and health.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":"283-306"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building Power for Health: The Grassroots Politics of Sustaining and Strengthening Medicaid. 为健康积聚力量：维持和加强医疗补助计划的基层政治》（The Grassroots Politics of Sustaining and Strengthening Medicaid.

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-04-01 DOI: 10.1215/03616878-11567668

Jamila Michener

{"title":"Building Power for Health: The Grassroots Politics of Sustaining and Strengthening Medicaid.","authors":"Jamila Michener","doi":"10.1215/03616878-11567668","DOIUrl":"10.1215/03616878-11567668","url":null,"abstract":"Context: Notwithstanding an impressive corpus charting the politics of Medicaid, there is still much to learn about the contemporary politics of sustaining, expanding, and protecting the program. There is especially scant scholarly evidence on the significance and function of grassroots political actors (i.e., the communities and groups most directly affected by health policy). This article explores the role such groups play in the politics of Medicaid.Methods: This research is based on qualitative interviews with organizers and advocates working in the domain of health policy.Findings: The power of grassroots actors in Medicaid politics is constrained by political and structural forces, including philanthropic funding practices, racism, and partisan polarization. Nevertheless, when bottom-up actors effectively exercise power, their involvement in Medicaid politics can transform policy processes and outcomes.Conclusions: Grassroots actors-those who are part of, represent, organize, or mobilize the people most affected by Medicaid policy-can play pivotal roles within Medicaid politics. Although they do not yet have sufficient political wherewithal to consistently advance transformational policy change, ongoing political processes suggest that they hold promise for being an increasingly important political force.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":"189-221"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0