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Policy articles

Rural Hospitals

Diana J. Mason

I just wrote a blog post for JAMANews Forum on the closure of rural hospitals. It describes why they close and discusses policy responses that could ensure that these hospitals are able to promote the health of their communities in myriad ways, not just by providing acute care services. As it was being posted, Trump […]

May 25, 2017

Kentucky nurses and their allies seek a mandate for a nurse in every school

Melissa Patrick

– Advocates say move would improve learning outcomes   Putting a full-time nurse in every Kentucky school would not only provide health care, but improve education outcomes, say advocates of the idea.   “We need a nurse in every school because we need to quit thinking about health and education as separate entities, because they are […]

May 9, 2017

CAPABLE Program Helps Seniors Age in Place

Liz Seegert

  We know that most older adults want to age in their own homes and communities, but the environment, health disparities, and lack of home and community supports can make that impossible. More public pressure and outreach can help change the situation.   I was pleased to attend a recent panel at the Association of Health […]

April 25, 2017

Charter on Professionalism for Healthcare Organizations

Diana J. Mason

On February 21st, Swedish Health Services in Seattle, Washington, announced that its CEO, Tony Armada, had resigned after a report by the Seattle Times that neurosurgeons were being incentivized to increase the volume of surgeries at its Neuroscience Institute and did so at times in ways that compromised patient safety. The Times reported that as […]

March 23, 2017

Nurse Practitioner Veneta Masson on the Value of Poetry and Stories

Joy Jacobson

Yesterday, the Trump administration released its proposed federal budget, which an incisive Twitter user described as “what a cartoon villain would propose.”   It would cut the Environmental Protection Agency by 31% and Health and Human Services by 16%. The National Institutes of Health would lose $6 billion. It would decimate support for after-school programs, […]

March 17, 2017


Diana J. Mason

This week the Congressional Budget Office scored the American Health Care Act, also known as Trumpcare even though he doesn’t want it branded with his name (wonder why…), the bill that Paul Ryan and the Republicans put forth to repeal and replace the Affordable Care Act, or Obamacare. The CBO, as it’s called, is a […]

March 16, 2017

Trumpcare and Community Health Centers

Eve Adler

The World Health Organization refers to health policy as the “decisions, plans, and actions that are undertaken to achieve specific health care goals within a society. An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short […]

March 16, 2017

Luna’s Story: How one health center cares for the transgender community

Liz Seegert

  The American Health Care Act, the proposed Republican health plan, would deal a major blow to Medicaid funding for the states. The Congressional Budget Office projects that if it passes, Medicaid cuts will total about $800 billion over the next decade, and leave 24 million more people uninsured—including many in the LGBT community.   Under […]

March 16, 2017

Repealing Efforts to Improve Access to Affordable Health Care

Diana J. Mason

I just got off the phone with a Republican Congressman’s office who is supportive of the new bill to repeal and replace the Affordable Care Act (ACA). I told him that this was change for the sake of change, given that he and other Republicans had promised voters to repeal and replace Obamacare. But it […]

March 7, 2017

A New Charter on Professionalism for Healthcare Organizations

Diana J. Mason

Healthcare organizations face enormous challenges in these times that are so uncertain about where health policy is moving under the new federal administration. The Affordable Care Act required challenging changes by these organizations and now they’re contending with guessing about what will change in the state and federal policies that could affect their ability to […]

February 17, 2017