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**The Latest Research, Commentary, and News from Health Affairs**

**Thursday, October 29, 2020**

TODAY ON THE BLOG

TELEHEALTH

Too Many Rural Americans Are Living In The Digital Dark. The Problem
Demands A New Deal Solution

By Mark E. Dornauer and Robert Bryce

Now is the time for a new federal program that will energize rural
broadband in the same way that the New Deal brought electricity to rural
America and will bring rural patients out of the digital dark. Read More
>>

AFFORDABLE CARE ACT

How Much Has The Number of Uninsured Risen Since 2016-And At What Cost
To Health And Life?

By Adam Gaffney, David Himmelstein, and Steffie Woolhandler

Declining insurance coverage during the Trump administration has come at
a heavy cost in physical and mental health, financial security, and loss
of life. If the Supreme Court overturns the Affordable Care Act, 19.9
million individuals could lose health coverage. The life and health
ramifications of this case-and of November's election-are
enormous. Read More >>

SOCIAL DETERMINANTS OF HEALTH

A Business Case For Improving The Well-Being Of Essential Shift Workers

By Megan McHugh, Claude R. Maechling, and Jane L. Holl

Essential workers are more likely to do shift work-outside of
traditional daytime work hours. Numerous studies have shown that such
work is associated with higher rates of many chronic diseases. Such
underlying conditions increase the risk for serious illness from
COVID-19. A foundation-funded study estimated the health effects, and
excess health care costs incurred per year, for 2,600 workers doing
shift work at a manufacturing company. The authors have suggestions for
employers relying on shift workers. Read More >>

FOLLOWING THE ACA

Honoring The Ever-Prolific Tim Jost

By Abbe Gluck and Sara Rosenbaum

It is our privilege to introduce this Health Affairs Blog short series
celebrating the pioneering work of Timothy Stoltzfus Jost. Perhaps no
other legal scholar has touched more areas of the field, or done more to
explain the field to generations of lawyers, health policy makers,
practitioners, and government officials.Read More >>

LEGAL & REGULATORY ISSUES

Honoring Tim Jost: The Legal Services Years

By James Weill

Tim Jost came to work at the Legal Assistance Foundation of Chicago 45
years ago, in 1975. Much of Tim's focus was on the Uptown community,
at the time a classic example of a predominantly low-income neighborhood
feeling the impacts of the great 1960s and 1970s wave of
deinstitutionalization. Read More >>

GRANTWATCH MONTHLY ROUND-UP

Connecting The Dots: Improving Child Care Workers' Conditions Leads To
Better Health, Economic Stability, And Greater Equity

By Debbie I. Chang (10/20/20)

Child care workers are a linchpin for broader health and economic
security, especially during the pandemic, says the leader of a
California foundation. Improving these workers' wages, job quality, and
work conditions leads to better health for children and economic
stability for the workers and the families they serve. We must invest in
child care and child care workers at a level commensurate with the value
of improved health outcomes for millions of families and the value of
our economic stability and recovery. Read More >>

Misunderstood: How Public Health's Inability To Communicate Keeps
Communities Unhealthy

By Brian C. Castrucci, Ruth J. Katz, and Nat Kendall-Taylor (10/8/20)

FrameWorks Institute research finds that other sectors have a largely
negative or at best a narrow perception of public health professionals.
How can public health help leaders outside the field to appreciate the
strategic and collaborative facets of public health? Public health
professionals need to improve their communication skills-poor
communication has been a longstanding problem-and strengthen
cross-sector partnerships. In a pandemic such relationships are
critically important. Read More >>

Health Equity And The Future Of Nursing, Post-COVID-19

By Susan B. Hassmiller (9/30/20)

The nursing field must be socially and politically engaged in advocacy
efforts to address the health inequities laid bare by COVID-19. This
view was clearly conveyed by a panel at a recent National Academy of
Medicine (NAM) webinar. Information gleaned there will be included in
the second Future of Nursing report, funded by the Robert Wood Johnson
Foundation and to be released by NAM in 2021. Also, one panelist called
for a plan to provide mental health support for nurses. Read More>>

IN THE JOURNAL

GRANTWATCH

Funding Children's Health: COVID-19 And Beyond

By Lee L. Prina

The October 2020 GrantWatch column follows the children's health theme
of that Health Affairs issue. The column highlights selected
foundations' efforts around the country to improve children's health
related to the pandemic and more. Subjects covered include food
insecurity, mental health, home visiting, emergency child care, COVID-19
in Africa, national paid family leave policy, childhood trauma, and
more. In the Key Personnel Change section, read about the temporary move
to state government by Sandra Shewry of the California Health Care
Foundation. Read More >> 

Read the October 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Climate Change

Health care institutions are some of the biggest contributors to climate
change. Look back at this blog post in which Dhruv Shankar and Sofia
Ahsanuddin urge readers: it's time for the health care system to
reckon with the human costs of climate change.

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About Health Affairs

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at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs
Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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