A Prescription for The US Healthcare System: Exploring Policy Interventions Designed to Assist Medically Underserved Areas (MUAs) and Populations

The United States, despite its position as the largest economy in the world, is also home to severe and systemic income inequality. In recent decades, average household income has increased across socioeconomic levels, yet the majority of this growth has remained concentrated among the wealthiest. Such economic disparities pervade the daily lives of the most vulnerable, limiting their access to resources such as healthcare and education. In doing so, economic inequality becomes entrenched and cyclical, deteriorating the quality of life for generations. We see the lasting effects of income and resource inequality today, with the prevalence and persistence of medically underserved areas (MUAs) and populations.

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Capping Costs: How Insulin Price Control Sets a Precedent for Future Drug Policies

The diabetic population in the United States has rapidly grown in recent decades, with the percentage of Americans with diabetes jumping from 0.98% in 1958 to 7.40% in 2015, causing an ever-increasing need for accessible insulin. However, as rates of diabetes have risen, so too has the cost of insulin, restricting the access of many patients to the medication necessary for their survival. Unsurprisingly, the number of people succumbing to diabetes has also risen in recent years due to the high prices of their treatments, including insulin.

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National Paid Sick Leave for Equitable Public Health

Due to inequities in access to paid sick leave, presenteeism, the phenomenon where workers show up to work while sick and not fully functioning, has led to significant costs to businesses, workers, and public health. While some businesses, municipalities, and states have implemented paid sick leave, many of the most vulnerable workers have been left behind. Therefore, the United States should adopt a national paid sick leave policy because it would promote economic and health equity while mitigating the costs of presenteeism, thereby benefiting employees, businesses, and the broader community.

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Veterans Mental Health Crisis: The Case for Artificial Intelligence Solutions

Nearly 800,000 applications for healthcare have yet to be filled by the VA, and many veterans lament having appointments canceled and never rescheduled or providers leaving with no replacement to handle their patients. Despite budget increases, the United States can no longer afford to fund adequate mental health care for veterans within the confines of current policy. Instead, we must consider alternative policy options that allow the VA to expand access to quick, affordable mental health treatment options for veterans.

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Trigger Warnings in Higher Education: Concerns, Pushback, & Non-Clinical Implementation

Research proves that trigger warnings generally fail to shield individuals from distress upon forcible exposure to the content. To this end, a comprehensive analysis illustrates that despite their large ineffectiveness in preventing anxiety or trauma responses, trigger warnings should continue to be implemented as a sign of mental health awareness in higher education.

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FDA Drug and Development Approval Process: Compromising Safety for Speed

According to researchers at the Yale School of Medicine, nearly a third of drugs approved by the FDA from 2001 through 2010 had major safety issues years after the medications were available, with 71 out of the 222 approved drugs being withdrawn and given a ‘black box’ warning of their side effects. Although the FDA is the ultimate authority for drug approval, various actors including biotech companies, pharmaceutical companies, and politicians can be involved in the drug development process, adding layers of complexity to this issue.

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Addressing COVID-19 Vaccine Hesitancy: Lessons from the US Response to the COVID-19 Pandemic

The Centers for Disease Control (CDC) has recently released new guidelines regarding COVID-19 vaccination, including recommendations for updated Pfizer-BioNTech, Moderna, and Novavax booster vaccines for children as young as six months old. Arriving in waves that lasted months at a time, COVID-19 has become part of the set of pathogens endemic in our communities, joining the ranks of the common cold and the flu. This doesn’t mean that COVID-19 is any less dangerous. Misconceptions that COVID-19 is equally as dangerous as the cold have long been disproven. COVID-19 remains more contagious and prone to severe symptoms than the flu, and post-COVID health complications are not uncommon. However, a significant portion of the population continues to doubt whether to get vaccinated. The rollout of COVID-19 vaccines over the past three years has revealed the extent of distrust towards vaccines, medical institutions, and the federal government that has significantly hampered the US response to COVID-19. The government must do more to fix existing structural weaknesses in public health institutions and policies to better prepare for future disease outbreaks.

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HHPRComment
Global Medical Tourism: An Economist Approach to Combating Encroaching Privatization with Government Intervention

International medical tourism is defined as patients traveling to another country in hopes of attaining health care. Experts predict that the industry will grow from generating $102.6 billion USD globally, in 2019, to approximately $272.7 billion, by 2027. Currently, there is a trend among countries to attract medical tourists in hopes of profiting and stimulating their economies to develop their healthcare systems. However, local healthcare systems suffer in the deregulated markets associated with said medical tourism because it warps available resources at the expense of local populations. In reality, the developments of low-income countries chasing the economic benefits of medical tourism only cater to the elite. The introduction of safeguards such as taxes on medical tourism that reintroduce some of this profit into the local healthcare systems could be a solution. Local healthcare development should be prioritized over the fractional benefit that medical tourism offers, despite its promises to be more influential.

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HHPRComment
Neonatal Encephalopathy in Low and Middle Income Countries

Neonatal encephalopathy (NE) is one of the leading causes of newborn death and disability in low-income and middle-income countries (LMICs). Although NE accounts for 23% of global neonatal mortality, its burden is not equally distributed, with 99% of these deaths occur in low-resource settings. In accordance with Target 3.2 of the United Nations’ Sustainable Development Goals—a collection of objectives to reach global peace and prosperity—battling NE is an utmost priority for nations around the world. As a condition that undeniably preys along socioeconomic and geographic lines, it is critical to understand the relationship between LMICs and NE fatality in order to effectively address the crisis.

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HHPRComment
Caught Off Guard: Fixing Weaknesses in the Global Pandemic Readiness

In the interconnectivity of today’s world, we benefit from the free exchange of goods, technology, and ideas across borders, yet are more so than ever before left at risk of increasingly widespread, diverse, and global disease. COVID-19 might be the most glaring example, but when we consider the context in which this pandemic occurred, there have long been signs about the proliferating dangers of diseases, whether it be from the Ebola outbreaks, the emergence of Zika, or other respiratory virus epidemics. Pathogens too are benefitting from the heightened era of connectivity that marks society today, and we consequently need to shift our paradigm of infectious disease containment and control to a more sustainable, global perspective. Ultimately, the future of global health requires both the maintenance and improvement of an international alarm network for novel and highly infectious pathogens through a more equitable revision of the International Health Regulations and a focus on establishing robust surveillance networks for countries in order to mitigate long durations of propagated disease spread, as seen during the COVID-19 pandemic.

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HHPRComment
Weight-Loss “Anti-Obesity” Medications Remain Inaccessible to Demographics Who Truly Need Them

The conversation surrounding prescription weight-loss medications, or “anti-obesity” drugs, has skyrocketed amidst new developments. Wegovy and Ozempic, two weight-loss drugs that recently entered the market, have given patients in the United States the tools to control their weight—perhaps without necessarily changing other aspects of life usually recommended by physicians, including diet and exercise.

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HHPRComment
Intellectual Property Rights in a Public Health Emergency: Direct Government Support in Low and Middle Income Countries as a Solution

November 17, 2019. The first SARS-CoV-2 case was confirmed in a 55-year-old man in Hubei province, China. As more and more cases are confirmed, public health experts start advising people to wear masks and social distance. Eventually in March 2020, COVID was declared a global pandemic by the World Health Organization. Schools started transitioning online and the first severe 21st-century pandemic ensued. In times of a dire public health crisis, the heavy burden of national and global health often falls onto governments, public cooperation, and pharmaceutical companies. These stakeholders often come to odds over how to address intellectual property (IP) rights now, especially in the context of COVID vaccines.

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HHPRComment
Combating Period Poverty: Making Menstrual Products Free in All Public Places

A pressing issue facing our community today is the lack of free menstrual products in public buildings and spaces. Every day, menstruators are left without a feeling of security, worrying about if they have access to the supplies they need while being on their period. Just like toilet paper is free in all public restrooms, menstrual products, such as pads and tampons, should be available for free in public restrooms. There are many people who are not able to afford period products and live in what we call “period poverty.”

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HHPR Comment
Sickle Cell: A Call for Comprehensive Care

While it is expected that an uncommon disease does not receive as much research and funding as more common afflictions such as lung cancer, sickle cell disease is underfunded as compared to other orphan diseases such as cystic fibrosis (CF) and hemophilia. Both CF and hemophilia have smaller patient populations than SCD, but the diseases receive more funding for research and treatment centers. A 2020 study found that federal funding was greater per person with CF than with sickle cell, corresponding to more research articles and FDA drug approvals. Hemophilia receives more funding than SCD despite also having a lower rate of incidence (2.3 cases per 10,000 male births versus 4.9 cases per 10,0000 births).

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HHPRComment
Medics in the Crosshairs: The Syrian Regime’s War on Healthcare

During the war, the Assad regime became notorious for besieging civilians, using chemical weapons, and deliberately targeting hospitals and healthcare workers, the focus of this paper. Between 2011 and 2020, there were 595 attacks on healthcare infrastructure, 536 of which were conducted by the Syrian government and the Russian Air Force, leading to the deaths of 923 medical personnel. By 2021, half of all health facilities in the nation were destroyed, and 70% of surviving healthcare workers have fled the country.

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HHPRComment
Healthcare for the Homeless

Low-income families do not always have the same accessibility to receiving medical care, and this is a profound issue when it comes to promoting the United States’ freedom and equality for all. The United States’ healthcare system caves in when it comes to morally adjusting to provide basic needs for those who desperately need it. In regards to the surge of homelessness in the United States, the healthcare system needs to invoke a change in order to prevent the increase and spread of disease and disparity among the low-income community. Ultimately, in order to overcome the higher than average disease and mortality in the homeless community, it is primarily necessary for healthcare systems to provide low-income individuals with homes and jobs instead of monetary values and adopt a universal healthcare model.

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