Teen Pregnancy: A Winnable Battle within Reach
Through both government and philanthropic funding, notable strides have been made in tackling teen pregnancy and birth rates across communities in the United States.
The Residual Uninsured: Taking Stock, Taking Care
By the time the Affordable Care Act is fully implemented in 2019, government analysts estimate that about 89 percent of the nonelderly U.S. population will be covered by health insurance. An estimated 11 percent of the nonelderly population, more than 30 million people nationwide, will remain uninsured.
Living Sicker and Dying Younger: United States Lags in Global Health Gains
Shorter lives and poorer health: this was the striking conclusion of leading public health experts convened by the National Research Council and the Institute of Medicine when examining the research evidence on how health and life expectancy in the United States compares to that of other high-income democracies around the world.
Gun Control: A Health Policy Issue?
Although the health-related consequences of gun violence are undeniable, the need for stronger gun control policies to address these health outcomes is hotly contested. Is the field of health philanthropy particularly “gun shy” about engaging in the contentious policy debate surrounding gun control? A number of health funders have supported grants and initiatives related to violence prevention, but relatively few have explicitly recognized gun control as a health policy objective.
Innovations in Care for Chronically Ill Patients
Caring for patients with one or more long-term health conditions is the bread and butter of our health care system; yet innovations in care for the chronically ill do not always receive the attention they deserve. In this Issue Focus, promising paths to care improvement, challenges, and areas for future exploration are discussed.
Reducing Hospital Readmissions: What Is at Stake and What Will it Take?
Nearly one in five Medicare inpatients is readmitted to the hospital in the 30 days following discharge, most often for reasons relating to the original hospital stay. Such read missions are very costly, accounting for more than $17 billion annually in Medicare spending. With the view that many rehospitalizations could be averted through improvements in health care delivery, finding the path to reduce read missions and capture the resulting savings has seized the imagination of many policy wonks and spurred attention, along with some action, on the front lines.
The Supreme Court Decision on the Affordable Care Act: Forging Ahead
On June 28, 2012, the Supreme Court of the United States delivered its decision on the constitutionality of the Affordable Care Act (ACA). In a five-to-four ruling, the court largely upheld the ACA, maintaining important provisions already in place and paving the way for a fundamental transformation of the health care system. Following the decision, GIH held several webinars analyzing the implications of the ruling.
Health Advocacy: Yes, No, or Maybe So?
Although engagement in public policy is viewed as a mission-critical strategy by an increasing number of health funders, many foundations are still considering whether and how they should support health advocacy efforts. This Issue Focus article briefly addresses some of the key questions foundations are likely to confront as they determine what role, if any, they should play in the public policy arena.