US Health Policy—2020 and Beyond

Addressing the crisis in US health care: moving beyond denial.

he US healthcare system is in a crisis and it is finally acknowledging this reality. Like other nations around the world, US health care faces mounting problems including rising costs, challenges to access to services, and persistently wide variations in safety and quality. Following the failure of the first Clinton Administration in the early 1990s to reform the US healthcare system through a ...

Beyond Health Insurance: Remaining Disparities in US Health Care in the Post-ACA Era.

Framing the Health Workforce Agenda Beyond Economic Growth

The fourth Global Forum on Human Resources (HRH) for Health was held in Ireland November 2017. Its Dublin declaration mentions that strategic investments in the health workforce could contribute to sustainable and inclusive growth and are an imperative to shared prosperity. What is remarkable about the investment frame for health workforce development is that there is little debate about the ty...

Reproductive Health Surveillance in the US-Mexico Border Region: Beyond the Border (and Into the Future)

This issue of Preventing Chronic Disease (PCD) celebrates the completion of a highly innovative and bold reproductive health surveillance initiative: the Brownsville-Matamoros Sister City Project for Women’s Health (BMSCP). This project, sponsored by the Centers for Disease Control and Prevention (CDC) and made possible through binational institutional collaboration, met the challenge of obtain...

Will Precision Medicine Move Us beyond Race?

n engl j med 374;21 nejm.org May 26, 2016 The use of an independent data and safety monitoring committee whose role is to review clinical trial data and make recommendations regarding changes to the trial’s conduct may also provide important quality control. That a trial being conducted to support potential regulatory approval warrants independent oversight is not a new concept, nor is it inten...