Over the last decade, most acute care hospitals have been able to reduce 30-day mortality rates for patients with myocardial infarction, congestive heart failure, and pneumonia. But small rural hospitals participating in a federal program to increase rural access have… Read More ›
Health Policy
JAMA Forum: Will the Evaluation of the ACA Be Health Services Research’s Finest Hour?
The Affordable Care Act (ACA) provides an unprecedented opportunity to expand insurance coverage and to reform the health care delivery system in the United States. The political debate about its merits and shortcomings has been highly partisan and unrelenting and… Read More ›
JAMA Forum: The New York City “Soda Wars”: Public Health vs Paternalism
New York City mayor Michael Bloomberg has been busy burnishing his legacy as a fierce public health advocate. He banned smoking in public places, restricted trans fats in restaurants, created sanitary grading in restaurants, required calorie counts to be posted… Read More ›
JAMA Forum: Tackling Obesity and Learning What Works
Recently, a New York Supreme Court judge struck down the soda ban proposed by New York City mayor Michael Bloomberg last fall. I’m on record in the JAMA Forum as being against the ban in the first place. But I… Read More ›
Too Little Data to Assess Risks of Long-term Use of New Drugs Available to Regulators
When health authorities approve a new drug for use in Europe, they are unable to assess the potential safety risks of drugs that will be taken for extended periods because of a lack of long-term data, according to an analysis… Read More ›
JAMA Forum: Missed Opportunities Abound as Congress Wrangles Over Fiscal Challenges
In my “Poised on the Edge of the Fiscal Cliff” blog post of December 18, 2012, I bemoaned the fact that 13 days before the end of the year, Congress had yet to decide what to do about the upcoming… Read More ›
JAMA Forum: The State Role in Health Care Innovation
A couple of weeks ago, the Centers for Medicare & Medicaid Services (CMS) announced a new round of grants from the Center for Medicare and Medicaid Innovation (CMMI). If you didn’t pay much attention to the announcement, it’s worth a… Read More ›
JAMA Forum: Remembering US Surgeon General C. Everett Koop and a Legacy of Leadership
By Asa Tapley, MSc, and Andrew B. Bindman, MD Last Monday, former US Surgeon General C. Everett Koop, MD, ScD, died at the age of 96 years. But even though it’s been nearly 25 years since he completed his term… Read More ›
JAMA Forum: State Health Exchanges, a Skeptical Public, and the Role of Health Care Professionals
Imagine the following scenario: it’s October 2013, you’re a health care professional, and Sara Smith, a 45-year-old woman with diabetes, arrives in your clinic for the first time in more than 4 years. You ask her why it’s been so… Read More ›
JAMA Forum: The Forecast Slowdown in Medicare Spending: Is More Coming?
By David Cutler, PhD, and Nikhil Sahni, MBA, MPA/ID The President pushed his budget in last week’s State of the Union address, but the show was stolen by the Congressional Budget Office (CBO) 2 weeks ago, when it released its… Read More ›