Unbiased Analysis of Today's Healthcare Issues
A paper by Ng, Zhang and Kowal (2025) use the American Community Survey (ACS) data from 2016–2022 were used to construct Social Vulnerability Index (SVI). SVI is calculated from 16 social determinants of health (SDoH) variables that are grouped into 4 themes: socioeconomic status, household characteristics, racial and ethnic minority status, and housing type &…
Recently, the Office of Management and Budget has released new procedures to assess government regulation (Circular A-4) and economic policies (Circular A-94). What is unique about this guidance is that it weights benefits and costs of new regulations and policies based on the income of the individuals impacted. The goal is to help reduce inequality.…
Are wealthier people healthier? If so, how strong is this relationship? Does it vary across countries? That is what a paper by Kyriopoulos et al. 2024 aims to answer. They measure health and wealth using a “concentration index” (CI) which is calculated as follows: CI is estimated with reference to the concentration curve, which illustrates…
A paper by Gupta and Akinyemiju (2024) uses SEER data to examine trends in age-adjusted cancer mortality between blacks and whites between 2000 and 2020. The authors find that: In 2000, the [age-adjusted mortality] rate was 251.7 per 100 000 population among Black individuals and 199.7 per 100 000 population among White individuals, decreasing to 166.8 per…
Many health policy experts–including myself–have noted that treatments that help reduce health disparities may be especially valuable whereas those that exacerbate inequalities may be somewhat less valuable than predicted by standard cost-effectiveness analysis. A key question is, health disparities over what dimension(s)? Is it race? Income? Education? O’Nell et al. (2013) developed the PROGRESS framework.…
There are many studies that show that social determinants of health (SDOH) impact health outcomes. A more challenging question is how do SDOH impact health outcomes? Specifically, through what pathways or mechanisms do SDOH operate? A paper by Thimm-Kaiser (2023) identifies 8 mechanisms through which SDOH impact outcomes. These include: SDOH are underlying causes of…
That is the question a paper by Anirban Basu (2023) in Science Advances attempts to answer. A key assumption the article makes is that race is a social and not a biological construct. Basu justifies this assumption by stating that “the vast majority of genetic variation associated with race-specific traits exists within racial groups and…
According to a study Bovell-Ammon et al. (2021) in JAMA Open, the answer is ‘yes’. The authors use data from the National Longitudinal Survey of Youth (NLSY79), which tracks a nationally representative cohort of noninstitutionalized youths aged 15 to 22 years in 1979 through 2018. The authors used cumulative incidence function estimates to compare Blacks…
I have written previously about the need for distributional cost-effectiveness analysis (DCEA) which would increase the value of treatments who improve the health for individuals who currently have the worst expected quality-adjusted life expectancy (QALE). I’ve written about this in AJMC and Health Affairs among other places. One key question many individuals may have is…
That is one approach being explored in Philadelphia according to an article in Kaiser Health News. Using funding from Temple University, two Pennsylvania Medicaid health plans, and some grant funding, the Template University Health System: …launched a two-year program last year to help 25 homeless Medicaid patients who frequently use its emergency room and other…