Public Preschool Aids in Developmental, Learning-Related Diagnoses
New research by SIEPR and SHP scholars Adrienne Sabety and Maya Rossin-Slater shows how early exposure to public preschool benefits low-income children with behavioral and developmental conditions.
Study Finds Gaza Violent Death Toll Likely 35% Higher Than Official Estimates
A Study by Eran Bendavid in The Lancet Global Health finds the number of violent deaths in the Gaza Strip in the first year of the conflict with Israel was underreported
Post COVID-19 Hypertension: A Longitudinal Study of 40,000 Incarcerated Adults
SHP researchers and colleagues at the California Correctional Health Care Services find that COVID-19 is associated with significant increases in hypertension incidence in the large, racially and ethnically diverse prison population.
When AI Algorithms Decide Whether Your Insurance Will Cover Your Care
In this Health Affairs study, Stanford researchers examine the promises of efficiency and risks of supercharged flaws in the race to use artificial intelligence in health care.
Why Tracking Pediatric Hospital Care Matters as Medicaid Cuts Loom
In this timely study, SHP's Lee Sanders reveals that Medicaid discharges accounted for $119.5 billion—more than half of all pediatric hospital discharges nationwide—a figure the researchers called “striking.”
Children deprived of their liberty in the US juvenile justice, criminal justice, and immigration detention systems face profound and evolving health risks that demand a creative, sustained, and urgent pediatric response. These risks unfold within distinct but overlapping systems that share structural gaps in oversight, inconsistent standards of care, and a legacy of harm to children’s health and development. A promising opportunity lies in linking expertise across these systems to strengthen care, safeguard rights, and address the vulnerabilities of this often-overlooked population, which is disproportionately composed of racially and ethnically minoritized children.
SHP's Maya Rossin-Slater, PhD, an assistant professor of health policy, writes in this Boston Globe editorial that the Brown University mass shooting renewed headlines about the debate over gun laws and blame. But after the headlines fade, the students who lived through it will be left to cope with the aftermath.
The New England Journal of Medicine,
December 22, 2025
This New England Journal Medicine article highlights the research of Adrienne Sabety, PhD, assistant professor of health policy, about how she measured the loss of primary care physicians.
Stanford Law’s Lisa Larrimore Ouellette and SHP’s Josh Salomon co-author report to address a persistent flaw in the U.S. health system: prioritizing treatment investment based on market potential rather than medical necessity.
Researchers analyzed three decades of sanctions on foreign aid to assess their impact on health. They hope the work can help government officials better understand and address how foreign policy decisions affect the well-being of local populations.
Many U.S. states have legislated to allow nurse practitioners (NPs) to independently prescribe drugs. Critics contend that these moves will adversely affect quality of care.
Compartmental infectious disease (ID) models are often used to evaluate non-pharmaceutical interventions (NPIs) and vaccines. Such models rarely separate within-household and community transmission, potentially introducing biases in situations where multiple transmission routes exist. We formulated an approach that incorporates household structure into ID models, extending the work of House and Keeling.
Proceedings of the National Academy of Sciences (PNAS),
September 18, 2023
Extreme air pollution events, like those from wildfires, negatively affect health through physiological responses but may also be salient enough to induce behavioral changes in individuals protecting their own health. The net impacts of these complex tradeoffs are poorly characterized. By joining the near-universe of emergency department visits in California from 2006 to 2017 with spatially and temporally resolved estimates of ambient wildfire smoke, we find total visits respond nonlinearly to increasing wildfire smoke concentrations, but that response differs by cause of visit. Total visits increase at lower concentrations but then decline at higher concentrations, suggesting that populations shift their behaviors following salient smoke periods. Whereas respiratory-related visits steadily increase, visits for accidental injuries and non-respiratory symptoms like stomach pains decline at high smoke concentrations.
During the COVID-19 pandemic, courts have limited the federal government’s ability to impose vaccination mandates; some judges have also questioned whether states must grant religious exemptions to vaccination mandates. The Supreme Court’s June 2023 decision in Groff v DeJoy2 concerning Title VII of the Civil Rights Act of 1964 raises new questions about the ability of private employers—including health care organizations—to enforce vaccination requirements for employees who have religious objections.
Low- to moderate-intensity statins were associated with a greater reduction in LDL-C levels in older persons than younger persons and may be more appealing as initial treatment in older adults who are at increased risk for adverse events.
The authority of states and localities to require vaccination is a bedrock principle of public health law. Since 1905, when the US Supreme Court upheld compulsory smallpox inoculations, there has been sustained judicial consensus that the Constitution “does not import an absolute right to be…wholly freed from restraint.” Otherwise, “organized society could not exist with safety to its members.” Until recently, objections to mandatory vaccinations were confined to a small minority of US residents. However, civic values eroded during the COVID-19 pandemic, creating a groundswell of resistance. With state legislatures now sharply limiting public health authority and a bevy of legal challenges mounted vaccination mandates—an old and highly effective public health tool—face legal uncertainty that only a few years ago seemed inconceivable.
Society for Medical Decision Making,
July 18, 2023
Under the current US kidney allocation system, older candidates receive a disproportionately small share of deceased donor kidneys despite a reserve of potentially usable kidneys that could shorten their wait times. To consider potential health gains from increasing access to kidneys for these candidates, we developed and calibrated a microsimulation model of the transplantation process and long-term outcomes for older deceased donor kidney transplant candidates.
Is government guiding the invisible hand at the top of the labor market? We use new administrative data to measure physicians' earnings and estimate the influence of healthcare policies on these earnings, physicians' labor supply, and allocation of talent. Combining the administrative registry of U.S. physicians with tax data, Medicare billing records, and survey responses, we find that physicians' annual earnings average $350,000 and comprise 8.6% of national healthcare spending. The age-earnings profile is steep; business income comprises one quarter of earnings and is systematically underreported in survey data. There are major differences in earnings across specialties, regions, and firm sizes, with an unusual geographic pattern compared with other workers. We show that health policy has a major impact on the margin: 25% of physician fee revenue driven by Medicare reimbursements accrues to physicians personally. Physicians earn 6% of public money spent on insurance expansions. We find that these policies in turn affect the type and quantity of medical care physicians supply in the short run; retirement timing in the medium run; and earnings affect specialty choice in the long run.
One-time CKD screening at age 55 years had an ICER of $86 300 per QALY gained by increasing costs from $249 800 to $259 000 and increasing QALYs from 12.61 to 12.72; this was accompanied by a decrease in the incidence of kidney failure requiring dialysis or kidney transplant of 0.29 percentage points and an increase in life expectancy from 17.29 to 17.45 years. Other options were also cost-effective. During ages 35 to 75 years, screening once prevented dialysis or transplant in 398 000 people and screening every 10 years until age 75 years cost less than $100 000 per QALY gained.
